Velarion Records

Skilled nursing facility · CMS certification number 525659

Complete Care at Grande Prairie

Pleasant Prairie, Wisconsin · Medicare and Medicaid

Certified beds, as filed in Care Compare: 118

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: $65,556.00 · Payment denials: 0. The most recent penalty on file: March 27, 2025, Fine, $65,556. 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 May 6, 2026.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$12,581,446CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$635,589CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,945,857CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,246,341CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,699,516CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$23,994CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,723,510CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,723,510 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components43,188CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days2,700CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days20,533CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days7,316CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components30,549CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges84CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges113CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges218CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components415CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.14CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days181.71CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days73.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1448995, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 3, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$12,088,425CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$422,212CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,666,213CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,077,255CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,588,958CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$48,735CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,637,693CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,637,693 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,033CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components368CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days323.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days78.89CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1380504, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for June 1, 2022 to December 31, 2022 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 14, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,606,613CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$505,758CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,100,855CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,917,993CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$182,862CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$79,670CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$262,532CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $262,532 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,600CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components267CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.96CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days199.14CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days62.17CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1351544, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended September 30, 2021

Cost report for October 1, 2020 to September 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 25, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$27,641,736CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$17,738,696CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,903,040CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,168,689CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$2,265,649CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$515,027CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,750,622CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,750,622 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,643CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components472CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days407.55CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days69.16CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1317033, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended September 30, 2020

Cost report for October 1, 2019 to September 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 26, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$27,394,751CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$18,346,377CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,048,374CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,677,253CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$628,879CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$568,225CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$60,654CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$60,654 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,536CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components447CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.49CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days549.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days72.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1280664, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended September 30, 2019

Cost report for October 1, 2018 to September 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 18, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$25,092,199CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$15,741,583CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,350,616CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,640,291CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$289,675CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$17,099CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$272,576CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$272,576 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,659CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components580CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days318.07CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days56.31CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1252771, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended September 30, 2018

Cost report for October 1, 2017 to September 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 25, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$24,993,676CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$15,581,635CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,412,041CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,262,975CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$149,066CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$16,323CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$165,389CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $165,389 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components31,389CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components607CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days380.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days51.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1221809, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended September 30, 2017

Cost report for October 1, 2016 to September 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 19, 2019.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$22,783,463CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$14,293,821CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,489,642CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,995,376CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$505,734CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,039CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$492,695CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$492,695 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components29,191CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components613CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days310.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days47.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1243134, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended September 30, 2016

Cost report for October 1, 2015 to September 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 24, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$18,466,466CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$10,129,708CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,336,758CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,063,718CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$726,960CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,767CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$713,193CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$713,193 (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
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,449CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components622CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days354.15CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days42.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1156279, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended September 30, 2015

Cost report for October 1, 2014 to September 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on March 29, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$13,231,482CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,679,083CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,552,399CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,412,022CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$140,377CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$15,251CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$155,628CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $155,628 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components30,379CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components543CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.6CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days217.21CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days55.95CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1121415, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended September 30, 2014

Cost report for October 1, 2013 to September 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 16, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$13,333,505CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,361,135CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,972,370CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,336,288CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$636,082CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$17,410CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$653,492CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $653,492 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,085CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components524CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days321.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days63.14CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1088637, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended September 30, 2013

Cost report for October 1, 2012 to September 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 9, 2015.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$12,735,504CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$3,064,273CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,671,231CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,228,322CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$557,091CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$15,169CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$541,922CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$541,922 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,500CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components482CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.66CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days425.09CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days69.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1109136, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended September 30, 2012

Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on March 25, 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$12,757,905CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,847,299CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,910,606CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,354,718CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$444,112CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,867CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$430,245CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$430,245 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,066CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components513CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.16CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days374.96CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days70.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1057376, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended September 30, 2011

Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 19, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$10,649,342CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,223,941CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$425,401CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$14,991CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $440,392 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,399CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components533CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.16CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days325.11CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days70.17CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434436, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended September 30, 2010

Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$10,774,004CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$10,692,569CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$81,435CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$18,203CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $99,638 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,812CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components542CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days31.02CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days440.16CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days71.61CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 420062, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended September 30, 2009

Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 17, 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$11,066,567CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,955,943CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,110,624CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$20,940CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,131,564 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,884CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components583CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.07CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days318.11CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days68.41CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 405544, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended September 30, 2008

Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on December 29, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$10,137,423CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,143,963CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$993,460CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$21,632CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,015,092 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components38,541CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components575CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days32.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days282.43CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days67.03CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 361824, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended September 30, 2007

Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on December 23, 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$9,987,474CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,929,493CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,057,981CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$19,203CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,077,184 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,349CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components530CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.7CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days368.75CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days74.24CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 361573, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended September 30, 2006

Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 20, 2009.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$9,300,693CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,014,051CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$286,642CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$24,019CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $310,661 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,273CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components545CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days255.7CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days72.06CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 335718, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended September 30, 2005

Cost report for December 31, 2004 to September 30, 2005 — a reporting period of 273 days, not a full year, on form CMS-2540-96, settled, processed by CMS on December 21, 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$6,327,768CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,985,846CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$341,922CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$12,825CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $354,747 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,930CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components324CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44.32CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days293.43CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days89.29CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 269416, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 30, 2004

Cost report for October 1, 2004 to December 30, 2004 — a reporting period of 90 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 15, 2006.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$1,944,265CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,553,822CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$390,443CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$3,580CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $394,023 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components9,478CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components111CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days24.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days359.65CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days85.39CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 245088, read from the public cost report file SNFFY2005.zip.

Fiscal year 2003, ended September 30, 2003

Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 4, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$7,157,246CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,638,488CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$1,518,758CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$92,601CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $1,426,157 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components37,925CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components538CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.17CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days243.51CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days70.49CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 229985, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended September 30, 2002

Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 26, 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$7,333,009CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,876,917CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$2,456,092CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,333,229CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $7,789,321 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,288CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components448CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.32CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days240.71CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days78.77CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 172008, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended September 30, 2001

Cost report for October 1, 2000 to September 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 7, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$3,182,559CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,727,564CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$545,005CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,302CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$540,703 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components118CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components16,650CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components304CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.32CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days153.11CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days54.77CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 143250, read from the public cost report file SNFFY2001.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
PC SWI HOLDCO LLC5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 06/01/2022
PC SWI TOPCO LLC5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 06/01/2022
SMS 2021 TRUST5% OR GREATER INDIRECT OWNERSHIP INTERESTOrganizationNO PERCENTAGE PROVIDEDsince 06/01/2022
BIELINSKI, RENEEADP OF THE SNFIndividualNOT APPLICABLEsince 07/11/2022
DES CAPITAL LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2022
GRANDE PRAIRIE PROPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2022
HELLMAN, YOSEFADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2022
HUGHES, CRYSTALADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2022
JRK INVESTMENTS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2022
KLUGMAN, JACOBADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2022
PEACE CAPITAL HOLDINGS II LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2022
SIDHU, SARFRAZADP OF THE SNFIndividualNOT APPLICABLEsince 11/17/2022
SMS 2021 TRUSTADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2022
STEELE, WILLIAMADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2022
STERNBUCH, DANIELADP OF THE SNFIndividualNOT APPLICABLEsince 06/01/2022
WI 6 PROPCO HOLDCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2022
WI 6 PROPCO TOPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2022
STEIN, SHALOMCORPORATE OFFICERIndividualNOT APPLICABLEsince 06/01/2022
STEIN, SHALOMMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 06/01/2022
BIELINSKI, RENEEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/11/2022
HELLMAN, YOSEFOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2022
HUGHES, CRYSTALOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2022
SIDHU, SARFRAZOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/17/2022
STEELE, WILLIAMOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2022
STERNBUCH, DANIELOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/01/2022
STEIN, SHALOMTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 06/01/2022

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of GRANDE PRAIRIE CARE AND REHAB CENTER LLC (enrollment ID O20220719003350).

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

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
PC SWI HOLDCO LLCOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PC SWI TOPCO LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PEACE CAPITAL HOLDINGS LLCOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST1006/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
SHALOM STEINIndividual5% OR GREATER INDIRECT OWNERSHIP INTEREST4.96/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SMS 2021 TRUSTOrganization5% OR GREATER INDIRECT OWNERSHIP INTEREST95.16/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
CRYSTAL HUGHESIndividualADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DANIEL STERNBUCHIndividualADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DES CAPITAL LLCOrganizationADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
GRANDE PRAIRIE PROPCO LLCOrganizationADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
JACOB KLUGMANIndividualADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JRK INVESTMENTS LLCOrganizationADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
PEACE CAPITAL HOLDINGS II LLCOrganizationADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
RENEE L BIELINSKIIndividualADP OF THE SNFNot stated in the filing7/11/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SARFRAZ SIDHUIndividualADP OF THE SNFNot stated in the filing11/17/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SMS 2021 TRUSTOrganizationADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
WI 6 PROPCO HOLDCO LLCOrganizationADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
WI 6 PROPCO TOPCO LLCOrganizationADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: Yes
WILLIAM STEELEIndividualADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
YOSEF HELLMANIndividualADP OF THE SNFNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHALOM STEINIndividualCORPORATE OFFICERNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHALOM STEINIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CRYSTAL HUGHESIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DANIEL STERNBUCHIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RENEE L BIELINSKIIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing7/11/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SARFRAZ SIDHUIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing11/17/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
WILLIAM STEELEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
YOSEF HELLMANIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SHALOM STEINIndividualTRUSTEE OF THE SNFNot stated in the filing6/1/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1May 14, 2026May 14, 202656
2November 14, 2024November 14, 202476
3September 12, 2023September 12, 202394

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

Deficiencies cited

21 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
May 14, 2026HealthF 0693Quality of Life and Care DeficienciesEnsure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DNoDeficient, Provider has date of correctionJune 6, 2026
May 14, 2026HealthF 0699Quality of Life and Care DeficienciesProvide care or services that was trauma informed and/or culturally competent.DNoDeficient, Provider has date of correctionJune 6, 2026
May 14, 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correctionJune 6, 2026
May 14, 2026HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionJune 6, 2026
May 14, 2026HealthF 0851Administration DeficienciesElectronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FNoDeficient, Provider has date of correctionJune 6, 2026
March 27, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correctionApril 21, 2025
March 27, 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionApril 21, 2025
March 27, 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.KYesDeficient, Provider has date of correctionApril 21, 2025
March 27, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correctionApril 21, 2025
November 14, 2024HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DNoDeficient, Provider has date of correctionDecember 6, 2024
November 14, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DNoDeficient, Provider has date of correctionDecember 6, 2024
November 14, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionDecember 6, 2024
January 8, 2024HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DYesDeficient, Provider has date of correctionJanuary 26, 2024
January 8, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionJanuary 31, 2024
January 8, 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionJanuary 31, 2024
January 8, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionJanuary 26, 2024
January 8, 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correctionJanuary 24, 2024
September 12, 2023HealthF 0554Resident Rights DeficienciesAllow residents to self-administer drugs if determined clinically appropriate.DYesDeficient, Provider has date of correctionOctober 5, 2023
September 12, 2023HealthF 0584Resident Rights DeficienciesHonor 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.ENoDeficient, Provider has date of correctionOctober 5, 2023
September 12, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionOctober 5, 2023
September 12, 2023HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correctionOctober 5, 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
March 27, 2025Fine$65,556134483

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

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Limited Liability company
Legal Business NameGRANDE PRAIRIE CARE AND REHAB CENTER LLC
Date First Approved to Provide Medicare and Medicaid Services2000-08-31
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishKenosha
Telephone Number2626122800
Chain NameCOMPLETE CARE
Chain ID157
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds118
Average Number of Residents per Day88.8
Overall Rating2
Health Inspection Rating2
QM Rating3
Long-Stay QM Rating2
Short-Stay QM Rating3
Processing Date2026-09-01

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

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