Velarion Records

Skilled nursing facility · CMS certification number 525466

SPRING VALLEY HEALTH AND REHAB CENTER

SPRING VALLEY, Wisconsin · Medicare and Medicaid

Certified beds, as filed in Care Compare: 40

Download this facility’s record (CSV)

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

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $27,690.00 · Payment denials: 0. The most recent penalty on file: August 1, 2024, Fine, $12,048. 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 September 22, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$2,582,265CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$45,287CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,536,978CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,572,046CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$35,068CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$48,984CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$13,916CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $13,916 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components7,360CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days603CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days2,797CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3,234CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components6,634CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges9CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges3CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges16CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components28CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days932.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days236.93CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439952, 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 22, 2023.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,164,634CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$16,660CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,147,974CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,001,430CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$853,456CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$581,833CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$271,623CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$271,623 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,559CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components34CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days460.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days310.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1371211, 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 February 8, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$3,354,942CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$259,606CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,095,336CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,435,832CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$340,496CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$236,560CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$103,936CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$103,936 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,156CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components36CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days120CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days323.17CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days254.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1342011, 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 18, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,348,098CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$339,129CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,008,969CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,904,326CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$895,357CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,251,985CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$356,628CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $356,628 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,168CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components97CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days143.77CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days94.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1308978, 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 27, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$3,479,551CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$431,824CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,047,727CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,109,623CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$61,896CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$413,588CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$351,692CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $351,692 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components40CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components8,294CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components67CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days202.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days123.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1279095, 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 December 23, 2019.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$3,538,373CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$269,618CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,268,755CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,750,888CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$482,133CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$159,110CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$323,023CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$323,023 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,002CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components29CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days63.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days395.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days344.9CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1248570, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended June 30, 2018

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

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$3,925,534CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$481,808CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,443,726CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,852,284CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$408,558CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$156,228CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$252,330CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$252,330 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,122CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components53CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days533.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days209.85CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1217786, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended June 30, 2017

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

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$4,327,503CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$367,541CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,959,962CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,479,413CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$519,451CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$153,995CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$365,456CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$365,456 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,370CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components93CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.13CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days459.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days143.76CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1182916, 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.

None of these figures is carried on this report.

CMS report record 1152315, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended June 30, 2015

Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 31, 2015.

None of these figures is carried on this report.

CMS report record 1116754, 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 February 10, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$5,470,468CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$109,146CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,361,322CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,284,895CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$76,427CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$171,058CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$247,485CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $233,782 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,288CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components85CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.61CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days191.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1085672, 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 May 1, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$4,903,689CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$32,542CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,871,147CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,705,985CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$834,838CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$176,957CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$657,881CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$657,881 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,798CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components69CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.59CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days243.45CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1089588, 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 30, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$5,168,514CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$22,935CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,191,449CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,769,992CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$578,543CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$250,976CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$327,567CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$327,567 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,239CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components67CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days242.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1024182, 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 February 6, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$4,726,096CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,991,192CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$265,096CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$21,989CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$243,107 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components14,143CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components45CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days314.29CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 424434, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended June 30, 2010

Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$4,554,121CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,387,773CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$166,348CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$117,196CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $283,544 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components14,627CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components54CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days55.19CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days270.87CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 393870, 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 February 1, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,486,559CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,435,579CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$50,980CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$270,579CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$547CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $321,012 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,258CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components55CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.79CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days295.6CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 363351, 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 October 13, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,154,496CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,140,063CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$14,433CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$63,314CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$2,427CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $75,320 (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.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components15,696CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components74CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.94CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days517.95CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days212.11CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 357514, 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 October 15, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,164,667CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,992,294CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$172,373CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$44,662CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $217,035 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,403CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components66CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.48CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days248.53CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 326728, 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.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$3,913,008CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,216,623CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$303,615CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$111,334CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$192,281 (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.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components50CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,013CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components80CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days52.42CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days200.16CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 292829, 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 July 19, 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$4,012,035CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,106,455CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$94,420CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$106,072CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $11,652 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,412CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components130CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.6CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days126.25CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 259174, 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 June 22, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$3,620,377CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,665,530CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$45,153CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$140,647CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$367CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $95,127 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components59CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,119CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components96CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.89CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days167.91CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 224840, 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 June 17, 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$3,561,099CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,491,133CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$69,966CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$50,686CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $120,652 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components67CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,443CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components94CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44.67CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days196.2CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 182813, 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, as submitted, processed by CMS on April 3, 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$3,127,356CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,273,499CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$146,143CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$30,129CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1,815CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$117,829 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components67CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,008CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components74CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days27.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days243.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 134426, 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 April 3, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$2,879,849CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,898,184CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$18,335CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$46,329CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$373CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $27,621 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components67CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,649CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components94CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.96CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days198.39CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 134010, 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 25, 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$2,723,940CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,901,378CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$177,438CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$25,802CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1,145CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$152,781 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components70CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,044CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components72CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54.86CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days306.17CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71983, 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 March 21, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$2,496,769CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,522,124CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$25,355CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$42,566CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$5,021CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $12,190 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components70CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,651CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components64CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.68CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days353.92CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 71981, read from the public cost report file SNFFY1998.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
VILLAGE OF SPRING VALLEY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 07/15/2019
BREMER BANK NATIONAL ASSOCIATION5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 07/15/2019
FIELD, THOMASADP OF THE SNFIndividualNOT APPLICABLEsince 11/10/2025
HEALTH DIMENSIONS CONSULTING INCADP OF THE SNFOrganizationNOT APPLICABLEsince 12/01/2022
ZURBUCHEN, RYANADP OF THE SNFIndividualNOT APPLICABLEsince 03/07/2025
WALLIN, ANDREACORPORATE DIRECTORIndividualNOT APPLICABLEsince 11/15/2025
KOCH, THERESACORPORATE OFFICERIndividualNOT APPLICABLEsince 04/15/2025
EMERSON, LUANNMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/20/2015
ERICKSON, ELIZABETHMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/20/2021
HUEPFEL, MATTHEWMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/19/1994
KOCH, THERESAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/18/2023
LUKES, RUTHMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/20/2021
O'CONNELL, RICHARDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/17/2009
PELZ, NATHANMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 04/15/2025
BRISCOE, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2022
BRISCOE, PATRICIAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2022
EMERSON, LUANNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/20/2015
FIELD, THOMASOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/10/2025
HEALTH DIMENSIONS CONSULTING INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 12/01/2022
HENNESSEY, ERINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2022
ROGOTZKE, AMBEROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2022
SHVETZOFF, SERGEIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2022
SHVETZOFF, TAMIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 12/01/2022
ZURBUCHEN, RYANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/07/2025
WALLIN, ANDREATRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 11/15/2025

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of VILLAGE OF SPRING VALLEY (enrollment ID O20240830001843).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
VILLAGE OF SPRING VALLEYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1007/15/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
BREMER BANK NATIONAL ASSOCIATIONOrganization5% OR GREATER MORTGAGE INTEREST1007/15/2019
Private equity company: No
Real estate investment trust: No
Holding company: No
HEALTH DIMENSIONS CONSULTING INCOrganizationADP OF THE SNFNot stated in the filing12/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
RYAN ZURBUCHENIndividualADP OF THE SNFNot stated in the filing3/7/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THOMAS FIELDIndividualADP OF THE SNFNot stated in the filing11/10/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANDREA WALLINIndividualCORPORATE DIRECTORNot stated in the filing11/15/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THERESA KOCHIndividualCORPORATE OFFICERNot stated in the filing4/15/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ELIZABETH ERICKSONIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing4/20/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
LUANN EMERSONIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing4/20/2015
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MATTHEW HUEPFELIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing4/19/1994
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
NATHAN PELZIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing4/15/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RICHARD O'CONNELLIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing4/17/2009
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RUTH LUKESIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing4/20/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THERESA KOCHIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing4/18/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
AMBER ROGOTZKEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAVID LINDSAY BRISCOEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ERIN LEIGH SHVETZOFF HENNESSEYIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
HEALTH DIMENSIONS CONSULTING INCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
LUANN EMERSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/20/2015
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PATRICIA LYNN BRISCOEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RYAN ZURBUCHENIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing3/7/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SERGEI NICHOLAS SHVETZOFFIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TAMI LYN SHVETZOFFIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing12/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THOMAS FIELDIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing11/10/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANDREA WALLINIndividualTRUSTEE OF THE SNFNot stated in the filing11/15/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1December 4, 2025December 4, 2025130
2August 1, 2024August 1, 202493
3June 21, 2023June 21, 2023153

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

Deficiencies cited

37 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
December 4, 2025HealthF 0582Resident Rights DeficienciesGive residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DNoDeficient, Provider has date of correctionJanuary 4, 2026
December 4, 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DNoDeficient, Provider has date of correctionJanuary 4, 2026
December 4, 2025HealthF 0645Resident Assessment and Care Planning DeficienciesPASARR screening for Mental disorders or Intellectual DisabilitiesDNoDeficient, Provider has date of correctionJanuary 4, 2026
December 4, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.EYesDeficient, Provider has date of correctionJanuary 4, 2026
December 4, 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionJanuary 4, 2026
December 4, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionJanuary 4, 2026
December 4, 2025HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correctionJanuary 4, 2026
December 4, 2025HealthF 0699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.DNoDeficient, Provider has date of correctionJanuary 4, 2026
December 4, 2025HealthF 0801Nutrition and Dietary DeficienciesEmploy sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.FNoDeficient, Provider has date of correctionJanuary 4, 2026
December 4, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionJanuary 4, 2026
December 4, 2025HealthF 0814Nutrition and Dietary DeficienciesDispose of garbage and refuse properly.FNoDeficient, Provider has date of correctionJanuary 4, 2026
December 4, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correctionJanuary 4, 2026
December 4, 2025HealthF 0882Infection Control DeficienciesDesignate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.FNoDeficient, Provider has date of correctionJanuary 4, 2026
August 8, 2025HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.CYesDeficient, Provider has date of correctionSeptember 2, 2025
August 1, 2024HealthF 0659Resident Assessment and Care Planning DeficienciesProvide care by qualified persons according to each resident's written plan of care.DNoDeficient, Provider has date of correctionAugust 29, 2024
August 1, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correctionAugust 29, 2024
August 1, 2024HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.DNoDeficient, Provider has date of correctionAugust 29, 2024
August 1, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GNoDeficient, Provider has date of correctionAugust 29, 2024
August 1, 2024HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.DNoDeficient, Provider has date of correctionAugust 29, 2024
August 1, 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correctionAugust 29, 2024
August 1, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionAugust 29, 2024
August 1, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.FNoDeficient, Provider has date of correctionAugust 29, 2024
April 25, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesPast Non-ComplianceApril 2, 2024
April 25, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionMay 25, 2024
April 25, 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionMay 25, 2024
April 25, 2024HealthF 0730Nursing and Physician Services DeficienciesObserve each nurse aide's job performance and give regular training.FYesDeficient, Provider has date of correctionMay 25, 2024
April 25, 2024HealthF 0838Administration DeficienciesConduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.FYesDeficient, Provider has date of correctionMay 25, 2024
April 25, 2024HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FYesDeficient, Provider has date of correctionMay 25, 2024
April 25, 2024HealthF 0947Nursing and Physician Services DeficienciesEnsure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.DYesDeficient, Provider has date of correctionMay 25, 2024
June 21, 2023HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DNoDeficient, Provider has date of correctionJuly 21, 2023
June 21, 2023HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correctionJuly 21, 2023
June 21, 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionJuly 21, 2023
June 21, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionJuly 21, 2023
June 21, 2023HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correctionJuly 21, 2023
June 21, 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correctionJuly 21, 2023
June 21, 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correctionJuly 21, 2023
June 21, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionJuly 21, 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
August 1, 2024Fine$12,04861193
April 25, 2024Fine$15,64261148

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - City/county
Legal Business NameVILLAGE OF SPRING VALLEY
Date First Approved to Provide Medicare and Medicaid Services1990-05-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishPierce
Telephone Number7157785545
Chain NameHEALTH DIMENSIONS GROUP
Chain ID821
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds40
Average Number of Residents per Day36.4
Overall Rating1
Health Inspection Rating2
QM Rating1
Long-Stay QM Rating1
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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On July 1, 2026: BRADLEY R JORGENSON no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. That is one line of the alert.

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