Skilled nursing facility · CMS certification number 525507
GOLDEN AGE MANOR
AMERY, Wisconsin · Medicare and Medicaid
Certified beds, as filed in Care Compare: 85
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for 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 | $8,791,929 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $744,590 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,047,339 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,860,829 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,186,510 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $65,356 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,251,866 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,095,558 (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 | 85 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 31,110 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,249 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 14,538 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,645 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,432 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 33 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 519.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 282 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438196, 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 August 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,541,225 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $668,616 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,872,609 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,735,105 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $137,504 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $43,994 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $181,498 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$147,715 (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 | 85 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,209 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 824.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 341.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1392711, 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 August 23, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,643,985 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $415,895 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,228,090 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,045,885 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$817,795 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $778,152 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$39,643 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$39,643 (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 | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,847 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 85.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 854 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 346.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363007, 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 September 20, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,119,611 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $24,175 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,095,436 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,670,683 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$575,247 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,863,849 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,288,602 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,288,602 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,596 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 826.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 236.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333219, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on October 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,985,615 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $159,554 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,826,061 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,621,515 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$795,454 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,703,005 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $907,551 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $907,551 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,639 | 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 | 44.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 616.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 213.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1302333, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 10, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,329,720 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $467,750 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,861,970 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,256,901 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,394,931 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,191,114 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$203,817 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$203,817 (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 | 109 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,860 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 551.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 229.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1273175, 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 29, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,024,390 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $581,652 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,442,738 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,403,806 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$961,068 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,286,639 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $325,571 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $325,571 (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 | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,633 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 522.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 226.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242893, 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 23, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,210,256 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $530,938 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,679,318 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,072,167 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,392,849 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,173,989 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$218,860 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$218,860 (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 | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 34,311 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 103 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 333.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1210344, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 25, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,385,431 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $620,141 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,765,290 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,155,126 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,389,836 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,155,753 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$234,083 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$234,083 (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 | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,076 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 230.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175043, 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 August 16, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,472,598 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $660,116 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,812,482 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,821,207 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,008,725 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $992,215 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$16,510 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$16,510 (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 | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,688 | 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 | 46.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 277.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141413, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 14, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,610,906 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $620,043 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,990,863 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,856,134 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$865,271 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,002,962 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $137,691 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $137,691 (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 | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,896 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 329.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107947, 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 | $7,437,929 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $633,548 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,804,381 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,551,396 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$747,015 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $952,531 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $205,516 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $205,516 (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 | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,752 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 289.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076035, 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 September 9, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,330,618 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $630,421 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,700,197 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,606,205 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$906,008 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,123,627 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $217,619 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $217,619 (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 | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,982 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 364.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047701, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 31, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,282,735 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $723,031 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,559,704 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,039,793 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$480,089 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,316 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$463,773 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$463,773 (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 | 114 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,613 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 89 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 422.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1017826, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,504,879 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,795,717 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$290,838 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $137,754 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$153,084 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,008 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 116 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 327.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417415, 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 12, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,356,372 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,283,396 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $72,976 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $202,905 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $275,881 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,644 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 316.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385356, 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 | $7,507,174 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,896,132 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $611,042 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,105 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $657,147 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,554 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 147 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 44.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 262.27 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355183, 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 July 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,757,377 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,948,709 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$191,332 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $639,419 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $448,087 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,053 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 125 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.94 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 320.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 320141, 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 | $6,249,878 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,692,924 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$443,046 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $70,782 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$372,264 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,691 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 137 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 289.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 306659, 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 | $7,171,804 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,765,404 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $406,400 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $122,649 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $529,049 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,456 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 158 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 243.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 280539, 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 November 10, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,424,188 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,694,504 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$270,316 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,812 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$242,504 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,687 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 130 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 305.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 236571, 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 November 19, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,419,450 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,433,666 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$14,216 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $17,053 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $2,837 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,223 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 79.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 478.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 200137, 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 May 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,460,939 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,669,043 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$208,104 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,917 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$188,187 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,644 | 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 | 53.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 437.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 178498, 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 May 27, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,310,657 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,537,880 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$227,223 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $642,212 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $414,989 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,324 | 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 | 38.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 411.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 146120, 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 | $5,003,053 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,870,885 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$867,832 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,519 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$855,313 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,839 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 65 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 628.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 72243, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on February 11, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,962,307 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,178,581 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$216,274 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,869 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$204,405 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,821 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 91 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 437.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 72240, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on April 19, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,517,213 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,588,915 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$71,702 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,011 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$61,691 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,513 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 154 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 243.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 72237, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on February 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,392,017 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,170,461 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $221,556 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,385 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $234,941 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,720 | 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 | 75.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 378.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 113447, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on January 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,828,084 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,939,389 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$111,305 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,971 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$88,334 (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 | 114 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,454 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 89 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 78.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 454.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 72232, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| POLK COUNTY-DEPT OF ADMINISTRATION | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/1966 |
| REESE, DANA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/28/2025 |
| POLK COUNTY-DEPT OF ADMINISTRATION | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/1966 |
| REESE, DANA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/23/2011 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of POLK COUNTY DEPT OF ADMINISTRATION (enrollment ID O20110815000930).
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 |
|---|---|---|---|---|---|
| POLK COUNTY-DEPT OF ADMINISTRATION | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/1966 | Private equity company: No Real estate investment trust: No Holding company: No |
| DANA REESE | Individual | ADP OF THE SNF | Not stated in the filing | 1/28/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANA REESE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/23/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| POLK COUNTY-DEPT OF ADMINISTRATION | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 1/1/1966 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- February 1, 2026: DANA REESE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANA REESE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANA REESE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANA REESE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 23, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
Recent changes on this record
- February 1, 2026: DANA REESE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANA REESE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANA REESE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANA REESE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 23, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 20, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 23, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 20, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- October 20, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- November 10, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 29, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 23, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 25, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 16, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 14, 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
- September 9, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 31, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- September 8, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- August 12, 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
- July 23, 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
- June 1, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- November 10, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- November 19, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- May 27, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- May 27, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 11, 2003: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- February 25, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- February 11, 2002: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- April 19, 2001: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- January 3, 2000: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 24, 2026 | June 24, 2026 | 8 | 2 |
| 2 | April 10, 2025 | April 10, 2025 | 16 | 12 |
| 3 | March 7, 2024 | March 7, 2024 | 7 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
31 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 24, 2026 | 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. | E | No | Deficient, Provider has date of correction | July 23, 2026 |
| June 24, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | July 23, 2026 |
| June 24, 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 | July 23, 2026 |
| June 24, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | July 23, 2026 |
| June 24, 2026 | Health | F 0882 | Infection Control Deficiencies | Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | F | No | Deficient, Provider has date of correction | July 23, 2026 |
| June 24, 2026 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | No | Deficient, Provider has date of correction | July 23, 2026 |
| March 30, 2026 | Health | F 0646 | Resident Assessment and Care Planning Deficiencies | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | Yes | Deficient, Provider has date of correction | May 6, 2026 |
| March 30, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | May 6, 2026 |
| April 10, 2025 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | E | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | F | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0887 | Infection Control Deficiencies | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | D | No | Deficient, Provider has date of correction | May 22, 2025 |
| April 10, 2025 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | May 22, 2025 |
| September 25, 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. | D | Yes | Deficient, Provider has date of correction | October 22, 2024 |
| March 7, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | April 3, 2024 |
| March 7, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | April 3, 2024 |
| March 7, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | No | Deficient, Provider has date of correction | April 3, 2024 |
| March 7, 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. | D | No | Deficient, Provider has date of correction | April 3, 2024 |
| March 7, 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 | April 3, 2024 |
| March 7, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 3, 2024 |
| March 7, 2024 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | No | Deficient, Provider has date of correction | April 3, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - County |
| Legal Business Name | POLK COUNTY-DEPT OF ADMINISTRATION |
| Date First Approved to Provide Medicare and Medicaid Services | 1993-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Polk |
| Telephone Number | 7152687107 |
| 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 | 85 |
| Average Number of Residents per Day | 58.7 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on GOLDEN AGE MANOR: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for GOLDEN AGE MANOR
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 525507.