Skilled nursing facility · CMS certification number 525488
MEADOWBROOK AT BLACK RIVER FALLS
BLACK RIVER FALLS, Wisconsin · Medicare and Medicaid
Certified beds, as filed in Care Compare: 45
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: 5 · Fines: 3 · Fines, total amount: $108,338.00 · Payment denials: 2. The most recent penalty on file: January 22, 2025, Fine, $56,898. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,408,885 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$315,379 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,724,264 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,192,974 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,468,710 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $905,177 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$563,533 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$563,533 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 18,300 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 722 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,245 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,897 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 11,864 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 27 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 40 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 77 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 206.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 154.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438515, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 12, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,277,630 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $562,959 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,714,671 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,319,439 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,604,768 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,069,952 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$534,816 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$534,816 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,709 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 132.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1383129, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 25, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,224,918 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,049,031 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,175,887 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,492,478 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$316,591 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $229,522 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$87,069 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$87,069 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,222 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 149.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1348423, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,051,025 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,626,011 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,425,014 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,936,931 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$511,917 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $962,904 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $450,987 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $450,987 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,053 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 160.72 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1329573, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for December 1, 2019 to December 31, 2020 — a reporting period of 396 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,120,304 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,674,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,445,545 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,066,515 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$620,970 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $755,627 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $134,657 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $134,657 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,839 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 95.86 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 68.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1299947, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended November 30, 2019
Cost report for January 1, 2019 to November 30, 2019 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,925,744 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,655,253 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,270,491 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,267,733 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$997,242 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,093 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$996,149 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$996,149 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,792 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.42 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 394.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1266691, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,923,863 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,955,917 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,967,946 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,857,995 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $109,951 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$1,798 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $108,153 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $108,153 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,073 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,349.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 290.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241825, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,247,556 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,628,427 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,619,129 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,919,433 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $699,696 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$4,629 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $695,067 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $695,067 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,807 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 325.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209465, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for March 1, 2016 to December 31, 2016 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on September 8, 2017.
None of these figures is carried on this report.
CMS report record 1175557, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,808,652 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $807,001 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,001,651 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,141,394 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$139,743 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,157 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$137,586 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$137,586 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,497 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 894.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 184.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1138712, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for August 1, 2014 to December 31, 2014 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 28, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,556,256 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $292,609 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,263,647 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,394,261 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$130,614 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,431 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$129,183 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$129,183 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,244 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 39 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 798 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105638, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 14, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,826,443 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,826,443 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,845,132 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$18,689 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$18,689 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$18,689 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,312 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 128 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 168.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 119.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076031, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,986,634 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,986,634 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,824,020 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $162,614 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $162,614 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $162,614 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,210 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 161.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 139.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044521, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for December 13, 2010 to December 31, 2011 — a reporting period of 383 days, on form CMS-2540-10, settled, processed by CMS on November 5, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,071,716 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $3,071,716 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,854,271 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $217,445 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $217,445 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $217,445 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,568 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 129.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1018696, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 12, 2010
Cost report for January 1, 2010 to December 12, 2010 — a reporting period of 345 days, on form CMS-2540-96, as submitted, processed by CMS on September 27, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,830,988 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,743,434 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $87,554 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,662 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $93,905 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$3,689 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,067 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 159.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418507, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 18, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,494,309 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,108,245 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $386,064 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,306 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $389,370 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,082 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 108 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 377.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385893, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 21, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,161,403 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,994,133 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $167,270 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,288 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $204,558 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,903 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 467.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 162.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355182, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 1, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,888,249 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,870,154 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $18,095 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,987 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $21,082 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,450 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 156 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 211.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 99.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 322591, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,849,324 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,695,098 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $154,226 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,947 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $171,173 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,304 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 461.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 230.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306656, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,850,134 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,559,693 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $290,441 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,149 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $295,590 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,098 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 807.69 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 227.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 280535, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 20, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,479,090 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,414,282 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $64,808 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $60,826 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,449 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $124,185 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,681 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 453.77 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 168.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 247612, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 20, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,201,791 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,391,154 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$189,363 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $70,043 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$119,320 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,612 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 105 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 139.16 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 228493, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 29, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,227,429 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,187,204 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $40,225 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,506 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $112,731 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,195 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 118 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.02 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 128.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 166158, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 8, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,067,634 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,116,799 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$49,165 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $88,837 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $39,672 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,372 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 161.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 152738, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 25, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,983,640 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,074,714 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$91,074 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,316 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$82,758 (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 | 54 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,454 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 106.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 72108, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for June 1, 1999 to December 31, 1999 — a reporting period of 213 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 26, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,182,941 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,139,223 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $43,718 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $200 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $43,918 (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 | 54 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,421 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 320.05 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 192.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 72106, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended September 30, 1998
Cost report for October 1, 1997 to September 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 21, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,680,902 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,148,571 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$467,669 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $316 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$467,353 (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 | 62 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,899 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 713.44 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 220.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 72102, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended July 31, 1997
Cost report for June 1, 1997 to July 31, 1997 — a reporting period of 60 days, not a full year, on form CMS-2540-96, settled, processed by CMS on September 30, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $292,665 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $350,618 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$57,953 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $58 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$57,895 (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 | 62 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 3,192 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 10 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 593.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 319.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 65598, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| FILLA, LAURIANN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/16/2024 |
| LINDEMANN, MITUL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2019 |
| MAHAN, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/23/1997 |
| MASLOVSKY, BORIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2019 |
| OCONTO FALLS NURSING AND REHAB LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/28/2022 |
| PUKSHANSKY, ROSTISLAV | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2019 |
| REINHART BOERNER VAN DEUREN S.C. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2019 |
| ROTH & CO, LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2019 |
| SYNERGY SENIOR CARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/03/2025 |
| VANDER VELDEN, BARBARA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2019 |
| WIPFLI LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2019 |
| VANDER VELDEN, BARBARA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2019 |
| LINDEMANN, MITUL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2019 |
| FILLA, LAURIANN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/16/2024 |
| LINDEMANN, MITUL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2019 |
| MAHAN, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/23/1997 |
| PUKSHANSKY, ROSTISLAV | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2019 |
| SYNERGY SENIOR CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BRF NURSING AND REHAB LLC (enrollment ID O20191209001784).
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 |
|---|---|---|---|---|---|
| BORIS MASLOVSKY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROSTISLAV PUKSHANSKY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BARBARA M VANDER VELDEN | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BORIS MASLOVSKY | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURIANN STELLA FILLA | Individual | ADP OF THE SNF | Not stated in the filing | 12/16/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL A MAHAN | Individual | ADP OF THE SNF | Not stated in the filing | 1/23/1997 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MITUL R LINDEMANN | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OCONTO FALLS NURSING AND REHAB LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/28/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| REINHART BOERNER VAN DEUREN S.C. | Organization | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROSTISLAV PUKSHANSKY | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROTH & CO, LLP | Organization | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SYNERGY SENIOR CARE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/3/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| WIPFLI LLP | Organization | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| BARBARA M VANDER VELDEN | Individual | CORPORATE DIRECTOR | 100 | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MITUL R LINDEMANN | Individual | CORPORATE OFFICER | 100 | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAURIANN STELLA FILLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/16/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL A MAHAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/23/1997 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MITUL R LINDEMANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROSTISLAV PUKSHANSKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SYNERGY SENIOR CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- August 1, 2025: GAIL L JACOBSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GAIL L JACOBSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GAIL L JACOBSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MITUL R LINDEMANN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MITUL R LINDEMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: OCONTO FALLS NURSING AND REHAB LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 28, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SYNERGY SENIOR CARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SYNERGY SENIOR CARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BORIS MASLOVSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: REINHART BOERNER VAN DEUREN S.C. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROSTISLAV PUKSHANSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROSTISLAV PUKSHANSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WIPFLI LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROTH & COMPANY, LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LAURIANN STELLA FILLA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LAURIANN STELLA FILLA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BARBARA M VANDER VELDEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MICHAEL A MAHAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 23, 1997. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MICHAEL A MAHAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 23, 1997. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2025: GAIL L JACOBSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GAIL L JACOBSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: GAIL L JACOBSON no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MITUL R LINDEMANN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MITUL R LINDEMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: OCONTO FALLS NURSING AND REHAB LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 28, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SYNERGY SENIOR CARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SYNERGY SENIOR CARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BORIS MASLOVSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: REINHART BOERNER VAN DEUREN S.C. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROSTISLAV PUKSHANSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROSTISLAV PUKSHANSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WIPFLI LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROTH & COMPANY, LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LAURIANN STELLA FILLA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: LAURIANN STELLA FILLA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 16, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BARBARA M VANDER VELDEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MICHAEL A MAHAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 23, 1997. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MICHAEL A MAHAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 23, 1997. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- June 12, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 25, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 11, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 16, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 9, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 22, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- September 8, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- November 10, 2016: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 29, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 28, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- May 27, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 14, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 1, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- November 5, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- September 27, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- August 18, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 21, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- August 1, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- April 23, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 14, 2026 | January 14, 2026 | 7 | 7 |
| 2 | October 16, 2024 | October 16, 2024 | 24 | 17 |
| 3 | October 18, 2023 | October 18, 2023 | 8 | 12 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
39 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 14, 2026 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | No | Deficient, Provider has date of correction | February 14, 2026 |
| January 14, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | No | Deficient, Provider has date of correction | February 14, 2026 |
| January 14, 2026 | Health | F 0645 | Resident Assessment and Care Planning Deficiencies | PASARR screening for Mental disorders or Intellectual Disabilities | D | No | Deficient, Provider has date of correction | February 14, 2026 |
| January 14, 2026 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | No | Deficient, Provider has date of correction | February 14, 2026 |
| January 14, 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 | February 14, 2026 |
| January 14, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | February 14, 2026 |
| October 22, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | December 11, 2025 |
| April 1, 2025 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | Yes | Deficient, Provider has date of correction | April 23, 2025 |
| January 22, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | February 16, 2025 |
| January 22, 2025 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | Yes | Deficient, Provider has date of correction | March 24, 2025 |
| January 22, 2025 | 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. | D | Yes | Deficient, Provider has date of correction | February 16, 2025 |
| December 18, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | Yes | Deficient, Provider has date of correction | December 23, 2024 |
| December 18, 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 | Yes | Deficient, Provider has date of correction | December 23, 2024 |
| December 18, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Yes | Deficient, Provider has date of correction | December 23, 2024 |
| December 18, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | December 23, 2024 |
| October 16, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | November 11, 2024 |
| October 16, 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 | No | Deficient, Provider has date of correction | November 11, 2024 |
| October 16, 2024 | Health | F 0604 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | No | Deficient, Provider has date of correction | November 11, 2024 |
| October 16, 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 | November 11, 2024 |
| October 16, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | November 11, 2024 |
| October 16, 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | November 11, 2024 |
| October 16, 2024 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | Yes | Deficient, Provider has date of correction | November 11, 2024 |
| October 16, 2024 | 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 | November 11, 2024 |
| October 16, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Yes | Past Non-Compliance | August 27, 2024 |
| October 16, 2024 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | November 11, 2024 |
| October 16, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure 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. | D | No | Deficient, Provider has date of correction | November 11, 2024 |
| October 16, 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 | November 11, 2024 |
| October 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 | No | Deficient, Provider has date of correction | November 11, 2024 |
| October 16, 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. | D | No | Deficient, Provider has date of correction | November 11, 2024 |
| October 16, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | November 11, 2024 |
| October 16, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | November 11, 2024 |
| July 10, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Yes | Deficient, Provider has date of correction | September 11, 2024 |
| July 10, 2024 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | Yes | Deficient, Provider has date of correction | September 11, 2024 |
| April 4, 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 | May 3, 2024 |
| October 18, 2023 | 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 | November 10, 2023 |
| October 18, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | November 10, 2023 |
| October 18, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | November 10, 2023 |
| October 18, 2023 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | C | No | Deficient, Provider has date of correction | November 10, 2023 |
| October 18, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | November 10, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| January 22, 2025 | Fine | $56,898 | 61275 | ||
| January 22, 2025 | Payment Denial | February 20, 2025 | 32 | ||
| October 16, 2024 | Fine | $17,250 | 61226 | ||
| July 10, 2024 | Fine | $34,190 | 61174 | ||
| July 10, 2024 | Payment Denial | August 6, 2024 | 36 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | BRF NURSING AND REHAB LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Jackson |
| Telephone Number | 7152844396 |
| Chain Name | SYNERGY SENIOR CARE |
| Chain ID | 502 |
| 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 | 45 |
| Average Number of Residents per Day | 40.7 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 1 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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On August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for MEADOWBROOK AT BLACK RIVER FALLS
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 525488.