Skilled nursing facility · CMS certification number 525657

Montello Care Center

Montello, Wisconsin · Medicare and Medicaid

Certified beds, as filed in Care Compare: 50

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

In Care Compare’s provider information: Penalties: 2 · Fines: 2 · Fines, total amount: $142,634.00 · Payment denials: 0. The most recent penalty on file: October 22, 2025, Fine, $10,358. 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 28, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$5,093,531	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$222,642	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,870,889	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,383,576	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$487,313	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,270	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$503,583	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $503,583 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	18,300	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	835	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	7,628	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	1,813	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	10,276	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	23	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	36	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	30	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	89	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.3	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	211.89	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	115.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1435855, 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 July 30, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$4,065,401	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$97,797	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,163,198	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,545,380	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$382,182	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$20,402	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$361,780	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$361,780 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,938	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	92	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	27.73	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	244.62	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	108.02	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1390634, 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 4, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,587,345	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$300,882	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,286,463	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,714,990	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$428,527	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$163,529	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$264,998	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$264,998 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,520	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	86	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	43	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	379.04	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	145.58	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361157, 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 October 17, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$4,438,362	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$674,264	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,764,098	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,173,753	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$409,655	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$535,222	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$125,567	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $125,567 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	11,361	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	110	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	34.18	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	288	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	103.28	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334762, 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 November 23, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$4,021,738	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$380,306	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,641,432	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,942,313	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$300,881	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$858,109	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$557,228	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $557,228 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,477	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	56	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.15	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	618.07	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	222.8	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305223, 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 July 30, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$4,281,279	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$778,489	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,502,790	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,644,566	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$141,776	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,589	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$122,187	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$122,187 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	50	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,626	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	98	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	375.62	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	139.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1262111, 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 July 15, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$4,059,155	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$592,156	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,466,999	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,639,082	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$172,083	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$11,797	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$160,286	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$160,286 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,747	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	125	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	260.72	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	141.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1236956, 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.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$4,262,452	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$660,162	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,602,290	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,519,111	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$83,179	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,504	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$92,683	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $92,683 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	18,929	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	111	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.87	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	467	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	170.53	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1210364, 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 25, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$4,060,847	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$742,177	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,318,670	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,427,475	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$108,805	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,489	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$102,316	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$102,316 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,905	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	119	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	33.69	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	515.05	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	150.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170701, 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 29, 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$3,858,465	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$583,134	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,275,331	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,675,232	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,399,901	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$17,586	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,382,315	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,382,315 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,787	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	113	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	41.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	363.57	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	157.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1142871, 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 July 25, 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,243,554	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$593,771	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,649,783	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,761,047	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$111,264	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$15,520	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$95,744	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$95,744 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	19,833	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	86	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.87	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	490.44	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	230.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105336, 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 July 31, 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,435,858	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$318,915	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,116,943	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,947,697	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$169,246	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,762	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$189,008	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $189,008 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,384	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	79	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	609	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	270.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1074608, 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 May 21, 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,366,528	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$161,390	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,205,138	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,749,671	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$455,467	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$22,951	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$478,418	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $478,418 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,053	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	74	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	57.68	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,135.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	284.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1029810, 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.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$4,235,513	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$276,791	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,958,722	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,770,046	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$188,676	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$48,482	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$237,158	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $237,158 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,067	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	82	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	85.45	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	268.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	244.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1018081, 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 August 2, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,023,459	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,666,511	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$356,948	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$26,244	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $383,192 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,596	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	67	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	90.57	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	584.53	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	322.33	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 414352, 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 July 19, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,646,347	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,323,435	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$322,912	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$19,626	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $342,538 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
Figure	As filed	Where it comes from
Total facility beds, all components	66	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,940	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	73	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	48.97	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	692.88	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	286.85	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 382413, 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 July 14, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,098,761	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,829,917	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$268,844	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$34,647	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $303,491 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	53	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,471	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	55	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	56.25	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,847.33	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	335.84	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 349557, 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.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$3,091,038	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,715,673	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$375,365	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$28,029	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $403,394 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
Figure	As filed	Where it comes from
Total facility beds, all components	53	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	18,506	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	72	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.66	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	869.58	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	257.03	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 320145, 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.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,927,776	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,633,012	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$294,764	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$13,515	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $308,279 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,208	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	44	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	74.22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	368.36	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 306676, 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 September 19, 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,919,289	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,494,830	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$424,459	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,735	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $430,194 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,481	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	76	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.47	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	203.7	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 263504, 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 August 24, 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$2,542,888	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,250,395	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$292,493	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,473	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $297,966 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,667	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	70	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	45.28	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	223.81	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 231657, 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 September 1, 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,171,857	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,126,535	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$45,322	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$18,341	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $63,663 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,882	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	63	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	34.26	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	252.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 193098, 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 April 27, 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,086,307	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,993,632	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$92,675	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$7,171	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $99,846 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,169	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	63	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	29.64	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	256.65	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 173908, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended December 31, 2001

Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 30, 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$1,878,104	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,747,203	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$130,901	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,658	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $137,559 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
Figure	As filed	Where it comes from
Total facility beds, all components	46	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,532	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	63	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.91	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	230.67	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 155754, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended December 31, 2000

Cost report for July 31, 2000 to December 31, 2000 — a reporting period of 153 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on February 13, 2003.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$641,605	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$757,092	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$115,487	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$1,889,205	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,773,718 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
Figure	As filed	Where it comes from
Total facility beds, all components	48	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	6,179	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	21	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	28.45	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	294.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 129504, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or manager	Role	Type	Ownership percentage	Association
DUPONT, LORI	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2016
GEHLER, MIRIAM	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2016
GERLACH, KERI	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2019
KERWIN, ANDREW	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2016
KUMAR, RAJEEV SHIVA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 04/24/2012
LACKE (CARRIG), KAREN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2016
LYNN, NICHOLAS	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 03/14/2011
SHERMAN, STEPHANIE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 05/11/2020
CARRIAGE HEALTHCARE COMPANIES INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/15/2001
SIEBEL, ROBERT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2016
BURKE, DANA	W-2 MANAGING EMPLOYEE	Individual	NOT APPLICABLE	since 10/07/2019

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WISCONSIN ILLINOIS SENIOR HOUSING INC (enrollment ID O20080327000440).

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
ANDREW C. KERWIN	Individual	CORPORATE DIRECTOR	Not stated in the filing	1/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
KAREN M LACKE (CARRIG)	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
KERI GERLACH	Individual	CORPORATE DIRECTOR	Not stated in the filing	1/1/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LORI DUPONT	Individual	CORPORATE DIRECTOR	Not stated in the filing	1/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MIRIAM GEHLER	Individual	CORPORATE DIRECTOR	Not stated in the filing	1/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
NICHOLAS LYNN	Individual	CORPORATE DIRECTOR	Not stated in the filing	3/14/2011	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
RAJEEV SHIVA KUMAR	Individual	CORPORATE DIRECTOR	0	4/24/2012	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
STEPHANIE L SHERMAN	Individual	CORPORATE OFFICER	Not stated in the filing	5/11/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
CARRIAGE HEALTHCARE COMPANIES INC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	2/15/2001	Private equity company: No Real estate investment trust: No Holding company: No
ROBERT V. SIEBEL	Individual	OPERATIONAL/MANAGERIAL CONTROL	100	1/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DANA BURKE	Individual	W-2 MANAGING EMPLOYEE	Not stated in the filing	10/7/2019	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

No change in ownership appears in the CMS files on record since September 20, 2022.

Recent changes on this record

August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
July 30, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
August 4, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
October 17, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
November 23, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
July 30, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
July 15, 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
July 25, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
August 29, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
July 25, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
July 31, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
May 21, 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
August 2, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
July 19, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
July 14, 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
September 19, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
August 24, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
September 1, 2004: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
April 27, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
July 30, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
February 13, 2003: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	December 4, 2025	December 4, 2025	24	10
2	July 31, 2024	July 31, 2024	29	14
3	June 1, 2023	June 1, 2023	15	7

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

Deficiencies cited

68 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
June 8, 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	Yes	Deficient, Provider has date of correction	June 18, 2026
June 8, 2026	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	Yes	Deficient, Provider has date of correction	June 18, 2026
June 8, 2026	Health	F 0808	Nutrition and Dietary Deficiencies	Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.	D	Yes	Deficient, Provider has date of correction	July 1, 2026
May 11, 2026	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	June 3, 2026
May 11, 2026	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	D	Yes	Deficient, Provider has date of correction	June 3, 2026
May 11, 2026	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Deficient, Provider has date of correction	June 3, 2026
December 4, 2025	Health	F 0558	Resident Rights Deficiencies	Reasonably accommodate the needs and preferences of each resident.	D	No	Deficient, Provider has date of correction	December 29, 2025
December 4, 2025	Health	F 0582	Resident Rights Deficiencies	Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.	D	No	Deficient, Provider has date of correction	December 29, 2025
December 4, 2025	Health	F 0605	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.	D	No	Deficient, Provider has date of correction	December 29, 2025
December 4, 2025	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	D	No	Deficient, Provider has date of correction	December 29, 2025
December 4, 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	December 29, 2025
December 4, 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	E	No	Deficient, Provider has date of correction	December 29, 2025
December 4, 2025	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	December 29, 2025
December 4, 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	No	Deficient, Provider has date of correction	December 29, 2025
December 4, 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	December 29, 2025
December 4, 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	December 29, 2025
December 4, 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	December 29, 2025
December 4, 2025	Health	F 0811	Nutrition and Dietary Deficiencies	Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.	D	No	Deficient, Provider has date of correction	December 29, 2025
December 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	December 29, 2025
December 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	December 29, 2025
December 4, 2025	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	E	No	Deficient, Provider has date of correction	December 29, 2025
October 22, 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	November 10, 2025
October 22, 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	November 10, 2025
October 22, 2025	Health	F 0744	Quality of Life and Care Deficiencies	Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.	G	Yes	Deficient, Provider has date of correction	November 10, 2025
August 1, 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	August 22, 2025
June 12, 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	Yes	Deficient, Provider has date of correction	July 10, 2025
June 12, 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.	D	Yes	Deficient, Provider has date of correction	July 10, 2025
June 12, 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	D	Yes	Deficient, Provider has date of correction	July 10, 2025
June 12, 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	Yes	Deficient, Provider has date of correction	July 10, 2025
June 12, 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	July 10, 2025
June 12, 2025	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	Yes	Deficient, Provider has date of correction	July 10, 2025
April 9, 2025	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.	J	Yes	Deficient, Provider has date of correction	May 5, 2025
April 9, 2025	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	May 5, 2025
April 9, 2025	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	May 5, 2025
April 9, 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 5, 2025
October 18, 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	November 8, 2024
October 18, 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.	E	Yes	Deficient, Provider has date of correction	November 8, 2024
July 31, 2024	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.	E	Yes	Deficient, Provider has date of correction	August 26, 2024
July 31, 2024	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D	Yes	Deficient, Provider has date of correction	September 16, 2024
July 31, 2024	Health	F 0607	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Develop and implement policies and procedures to prevent abuse, neglect, and theft.	E	No	Deficient, Provider has date of correction	August 26, 2024
July 31, 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	August 26, 2024
July 31, 2024	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	E	Yes	Deficient, Provider has date of correction	August 26, 2024
July 31, 2024	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	D	No	Deficient, Provider has date of correction	August 26, 2024
July 31, 2024	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	D	No	Deficient, Provider has date of correction	August 26, 2024
July 31, 2024	Health	F 0645	Resident Assessment and Care Planning Deficiencies	PASARR screening for Mental disorders or Intellectual Disabilities	D	No	Deficient, Provider has date of correction	August 26, 2024
July 31, 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 26, 2024
July 31, 2024	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	E	Yes	Deficient, Provider has date of correction	August 26, 2024
July 31, 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	No	Deficient, Provider has date of correction	August 26, 2024
July 31, 2024	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	August 26, 2024
July 31, 2024	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	August 26, 2024
July 31, 2024	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	August 26, 2024
July 31, 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 26, 2024
July 31, 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	August 26, 2024
July 31, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	August 26, 2024
April 9, 2024	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	May 9, 2024
April 9, 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	May 9, 2024
April 9, 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	Yes	Deficient, Provider has date of correction	May 9, 2024
April 9, 2024	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	Yes	Deficient, Provider has date of correction	May 9, 2024
April 9, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	Yes	Deficient, Provider has date of correction	May 9, 2024
September 18, 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	Yes	Deficient, Provider has date of correction	October 18, 2023
June 1, 2023	Health	F 0623	Resident Rights Deficiencies	Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.	C	No	Deficient, Provider has date of correction	June 30, 2023
June 1, 2023	Health	F 0625	Resident Rights Deficiencies	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.	C	No	Deficient, Provider has date of correction	June 30, 2023
June 1, 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	June 30, 2023
June 1, 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	June 30, 2023
June 1, 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	June 30, 2023
June 1, 2023	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	June 30, 2023
June 1, 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	June 30, 2023
June 1, 2023	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	June 30, 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
October 22, 2025	Fine	$10,358			137651
April 9, 2025	Fine	$132,276			135381

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	WISCONSIN ILLINOIS SENIOR HOUSING INC
Date First Approved to Provide Medicare and Medicaid Services	2000-07-31
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Marquette
Telephone Number	6082972153
Chain Name	WISCONSIN ILLINOIS SENIOR HOUSING, INC.
Chain ID	569
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	50
Average Number of Residents per Day	32.1
Overall Rating	1
Health Inspection Rating	1
QM Rating	2
Long-Stay QM Rating	1
Short-Stay QM Rating	3
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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