Skilled nursing facility · CMS certification number 525655
Fond du Lac Lutheran Home
Fond du Lac, 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: 1 · Fines: 1 · Fines, total amount: $9,113.00 · Payment denials: 0. The most recent penalty on file: March 27, 2025, Fine, $9,113. 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 June 25, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,516,896 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,819,787 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,697,109 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,544,887 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $152,222 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $26,469 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $178,691 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $178,691 (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 | 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 | 974 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,560 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,379 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 20,913 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 51 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 88 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 305.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1432260, 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 8, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,264,740 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,142,210 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,122,530 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,011,665 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,889,135 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,592,909 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$296,226 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$296,226 (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 | 21,079 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 122 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 388.39 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391635, 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 July 14, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,148,626 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,582,085 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,566,541 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,682,042 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,115,501 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,323,840 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $208,339 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $208,339 (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 | 21,372 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 168 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 534.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1358764, 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 July 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,040,197 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,890,398 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,149,799 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,963,606 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$813,807 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,215,443 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,401,636 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,401,636 (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 | 21,992 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 898.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327767, 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 September 21, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,703,230 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,949,465 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,753,765 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,945,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,192,202 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,438,578 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,246,376 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,246,376 (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 | 21,386 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 210 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 219.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 101.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1300729, 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 June 18, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,703,966 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,449,709 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,254,257 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,024,798 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,770,541 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,185,955 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$584,586 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$584,586 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,634 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 234 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 194.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 109.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1258400, 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 14, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,863,894 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,656,428 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,207,466 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,402,562 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,195,096 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,639,781 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $444,685 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $444,685 (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 | 101 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,191 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 267 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 251.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240849, 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 June 11, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,447,563 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,262,209 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,185,354 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,602,029 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,416,675 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,267,390 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$149,285 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$149,285 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,143 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 229 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 382.43 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1192515, 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 July 18, 2017.
None of these figures is carried on this report.
CMS report record 1169879, 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 5, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,996,396 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,452,463 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,543,933 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,832,005 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$288,072 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $157,078 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$130,994 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$130,991 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,504 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 247 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.35 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 335.54 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1140052, 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 11, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,874,634 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,230,522 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,644,112 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,021,126 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$377,014 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $166,619 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$210,395 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$210,395 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,548 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,020.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 208.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107396, 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 18, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,705,129 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,770,159 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,934,970 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,348,685 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$413,715 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,394,230 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $980,515 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $980,383 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,226 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 284.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1076335, 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 8, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,097,205 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,990,605 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,106,600 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,679,313 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,572,713 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,153,823 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$418,890 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$424,384 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,871 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,694.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 198.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1045940, 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 | $9,902,326 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,697,872 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,204,454 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,505,080 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,300,626 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,174,152 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$126,474 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$126,474 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,025 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 188 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,068.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 218.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1018079, 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 | $8,296,222 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,565,520 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,269,298 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,152,726 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $1,042 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$117,614 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,053 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 205 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 693.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 214.89 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417464, 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 11, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,723,049 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,659,404 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$936,355 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,130,547 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2,670 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $191,522 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,314 | 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 | 87.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,141.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 293.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385167, 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 13, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,581,595 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,128,880 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$547,285 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,167,223 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $619,938 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 45,327 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 195 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 77.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 232.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354628, 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 April 30, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,455,764 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,822,100 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,366,336 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $980,196 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,344 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$393,484 (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 | 133 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,591 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 164 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 86.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 259.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 338103, 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 February 6, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,672,139 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,998,159 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,326,020 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,134,113 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$191,907 (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 | 139 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,091 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 166 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.76 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 283.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301846, 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 February 14, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,961,690 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,282,878 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,321,188 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,128,501 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$192,687 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,345 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 291 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.06 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 327.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 176.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 272444, 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 May 3, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,539,404 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,522,614 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$983,210 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $986,655 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $8,444 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$4,999 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 52,259 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 356 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 288.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 146.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 248512, 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 June 22, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,331,663 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,215,693 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$884,030 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $962,724 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $78,694 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,633 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,134.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 333.12 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 224836, 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 September 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,917,690 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,797,052 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$879,362 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $875,005 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$4,357 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,590 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,089.64 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 332.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 193082, 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 August 11, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,435,480 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,515,371 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,079,891 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,025,147 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$54,744 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 53,466 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 207 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 18.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 258.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156682, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for February 7, 2000 to December 31, 2000 — a reporting period of 328 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,793,992 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,831,611 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$1,037,619 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,076,245 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $38,626 (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 | 150 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 51,243 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 72.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 800.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116228, read from the public cost report file SNFFY2000.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 |
|---|---|---|---|---|
| LUTHERAN HOMES AND HEALTH SERVICES, INC. | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 09/19/2000 |
| ILLUMINUS INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/16/2025 |
| KAYMEN, STANLEY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/03/2026 |
| MARKS, JULIE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/16/2025 |
| MAUTHE, MATTHEW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2016 |
| WEBER, LISA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2014 |
| MARKS, JULIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/16/2025 |
| SCHLEIF, TERRY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2016 |
| SUHS, KIM | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2015 |
| MARKS, JULIE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/16/2025 |
| MAUTHE, MATTHEW | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 08/01/2016 |
| ILLUMINUS INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/01/2016 |
| KAYMEN, STANLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/13/2023 |
| LUTHERAN HOMES AND HEALTH SERVICES, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 02/09/2005 |
| MARKS, JULIE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/16/2025 |
| MAUTHE, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2016 |
| WEBER, LISA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2014 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of FOND DU LAC LUTHERAN HOME, INC. (enrollment ID O20111221000423).
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 |
|---|---|---|---|---|---|
| LUTHERAN HOMES AND HEALTH SERVICES, INC. | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/19/2000 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| ILLUMINUS INC | Organization | ADP OF THE SNF | Not stated in the filing | 11/16/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| JULIE MARKS | Individual | ADP OF THE SNF | Not stated in the filing | 9/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA R WEBER | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW R MAUTHE | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STANLEY KAYMEN | Individual | ADP OF THE SNF | Not stated in the filing | 3/3/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE MARKS | Individual | CORPORATE DIRECTOR | 0 | 9/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KIM SUHS | Individual | CORPORATE DIRECTOR | 0 | 1/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TERRY SCHLEIF | Individual | CORPORATE DIRECTOR | 0 | 1/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE MARKS | Individual | CORPORATE OFFICER | 0 | 9/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW R MAUTHE | Individual | CORPORATE OFFICER | 0 | 8/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ILLUMINUS INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| JULIE MARKS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA R WEBER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LUTHERAN HOMES AND HEALTH SERVICES, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/9/2005 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| MATTHEW R MAUTHE | Individual | OPERATIONAL/MANAGERIAL CONTROL | 100 | 8/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STANLEY KAYMEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/13/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 1, 2026: KIM SUHS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NICOLE L CHWALA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LUTHERAN HOMES AND HEALTH SERVICES, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 9, 2005. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LUTHERAN HOMES AND HEALTH SERVICES, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 19, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JULIE MARKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JULIE MARKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JULIE MARKS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JULIE MARKS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STANLEY KAYMEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STANLEY KAYMEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LISA R WEBER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LISA R WEBER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ILLUMINUS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ILLUMINUS INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MATTHEW R MAUTHE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MATTHEW R MAUTHE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
Recent changes on this record
- April 1, 2026: KIM SUHS no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: NICOLE L CHWALA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LUTHERAN HOMES AND HEALTH SERVICES, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 9, 2005. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LUTHERAN HOMES AND HEALTH SERVICES, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 19, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JULIE MARKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JULIE MARKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JULIE MARKS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JULIE MARKS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STANLEY KAYMEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: STANLEY KAYMEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 13, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LISA R WEBER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LISA R WEBER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2014. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ILLUMINUS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ILLUMINUS INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MATTHEW R MAUTHE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MATTHEW R MAUTHE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since August 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- June 25, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 8, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 14, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- July 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 21, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- June 18, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 14, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- June 11, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 18, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 5, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 11, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 18, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 8, 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 11, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- August 13, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- April 30, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- February 6, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- February 14, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- May 3, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- June 22, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- September 1, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- August 11, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 4, 2025 | September 4, 2025 | 4 | 10 |
| 2 | July 10, 2024 | July 10, 2024 | 22 | 27 |
| 3 | May 24, 2023 | May 24, 2023 | 16 | 9 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
43 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 14, 2026 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Yes | Deficient, Provider has date of correction | June 3, 2026 |
| September 4, 2025 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | No | Deficient, Provider has date of correction | October 25, 2025 |
| September 4, 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 | October 25, 2025 |
| September 4, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 25, 2025 |
| March 27, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | April 22, 2025 |
| March 27, 2025 | 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 | Deficient, Provider has date of correction | April 22, 2025 |
| March 27, 2025 | Health | F 0846 | Administration Deficiencies | Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | C | Yes | Deficient, Provider has date of correction | April 22, 2025 |
| March 27, 2025 | Health | F 0947 | Nursing and Physician Services Deficiencies | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Yes | Deficient, Provider has date of correction | April 22, 2025 |
| December 19, 2024 | Health | F 0607 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Yes | Deficient, Provider has date of correction | January 13, 2025 |
| September 24, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | October 22, 2024 |
| September 24, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | October 17, 2024 |
| July 10, 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. | D | No | Deficient, Provider has date of correction | August 6, 2024 |
| July 10, 2024 | Health | F 0551 | Resident Rights Deficiencies | Give the resident's representative the ability to exercise the resident's rights. | D | No | Deficient, Provider has date of correction | August 6, 2024 |
| July 10, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | August 6, 2024 |
| July 10, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | August 6, 2024 |
| July 10, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | August 6, 2024 |
| July 10, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | August 6, 2024 |
| July 10, 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 | August 6, 2024 |
| July 10, 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 | August 6, 2024 |
| July 10, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has no plan of correction | |
| July 10, 2024 | Health | F 0691 | Quality of Life and Care Deficiencies | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | August 6, 2024 |
| July 10, 2024 | Health | F 0700 | Quality of Life and Care Deficiencies | Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | D | No | Deficient, Provider has date of correction | August 6, 2024 |
| July 10, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | August 6, 2024 |
| July 10, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | August 6, 2024 |
| July 10, 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 | August 6, 2024 |
| July 10, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | August 6, 2024 |
| April 10, 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 | May 9, 2024 |
| April 10, 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 | May 9, 2024 |
| April 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 | May 9, 2024 |
| November 27, 2023 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Yes | Deficient, Provider has date of correction | December 27, 2023 |
| November 27, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | December 27, 2023 |
| November 27, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | December 27, 2023 |
| August 3, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | September 1, 2023 |
| May 24, 2023 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | July 7, 2023 |
| May 24, 2023 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | July 7, 2023 |
| May 24, 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 | No | Deficient, Provider has date of correction | July 7, 2023 |
| May 24, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | July 7, 2023 |
| May 24, 2023 | 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 | July 7, 2023 |
| May 24, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | July 7, 2023 |
| May 24, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | July 7, 2023 |
| May 24, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | July 7, 2023 |
| May 24, 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | No | Deficient, Provider has date of correction | July 7, 2023 |
| May 24, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | July 7, 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 |
|---|---|---|---|---|---|
| March 27, 2025 | Fine | $9,113 | 134592 |
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 | Non profit - Corporation |
| Legal Business Name | FOND DU LAC LUTHERAN HOME, INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 2000-01-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Fond Du Lac |
| Telephone Number | 9209219520 |
| Chain Name | ILLUMINUS |
| Chain ID | 874 |
| 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 | 54.9 |
| Overall Rating | 3 |
| Health Inspection Rating | 3 |
| QM Rating | 2 |
| Long-Stay QM Rating | 4 |
| 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 June 25, 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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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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