Skilled nursing facility · CMS certification number 525660

ST DOMINIC VILLA

HAZEL GREEN, Wisconsin · Medicare and Medicaid

Certified beds, as filed in Care Compare: 62

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: 4 · Fines: 2 · Fines, total amount: $129,467.00 · Payment denials: 2. The most recent penalty on file: August 15, 2024, Fine, $49,823. 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 July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 9, 2026.

Revenue and expenses, fiscal year 2025
Figure	As filed	Where it comes from
Total patient revenue	$10,041,213	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,191,348	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,849,865	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,570,833	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$279,032	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$32,291	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$311,323	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $311,323 (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 2025
Figure	As filed	Where it comes from
Total facility beds, all components	62	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	22,630	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	961	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	7,818	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	9,708	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	18,487	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	17	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	5	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	4	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	26	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	56.53	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,563.6	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	711.04	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1446321, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2024, ended June 30, 2024

Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on December 20, 2024.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$8,856,911	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,786,645	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,070,266	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,559,742	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$489,476	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$35,108	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$454,368	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$454,368 (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	62	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,061	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	38	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	65.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,331.91	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	554.24	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1401421, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2023, ended June 30, 2023

Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 12, 2023.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$7,117,482	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,825,808	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,291,674	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,735,069	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$443,395	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$59,404	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$383,991	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$383,991 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

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	18,197	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	75	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	44.88	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	636.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	242.63	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1370325, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2022, ended June 30, 2022

Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 2, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$4,877,338	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,312,850	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,564,488	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,721,454	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$156,966	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$36,102	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$120,864	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$120,864 (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	13,445	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	73	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	36.19	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	320.17	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	184.18	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1341656, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2021, ended June 30, 2021

Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 16, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$5,690,975	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,769,148	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,921,827	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,599,037	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$677,210	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,178,358	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$2,501,148	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,501,148 (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	62	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	17,638	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	31	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	52.18	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	7,033.5	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	568.97	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1310507, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2020, ended June 30, 2020

Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 28, 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,633,125	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,664,673	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,968,452	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,754,523	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$786,071	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,421,082	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,635,011	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,635,011 (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	62	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,131	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	12	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	565	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	4,540	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,760.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1279217, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2019, ended June 30, 2019

Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 21, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$5,339,670	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,929,536	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,410,134	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,352,761	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$942,627	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$9,536	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$933,091	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$933,091 (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	62	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	20,697	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	3	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	230	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	19,334	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	6,899	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1249641, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2018, ended June 30, 2018

Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$5,856,641	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,252,244	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,604,397	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,112,843	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$508,446	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,397	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$507,049	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$507,049 (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	62	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,537	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	18	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	334.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,987.71	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,252.06	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1217790, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2017, ended June 30, 2017

Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 8, 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$5,838,370	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,246,934	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,591,436	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,173,479	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$582,043	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	−$214	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$582,257	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$582,257 (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	62	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,449	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	20	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	75.31	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,932.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,122.45	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1183568, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2016, ended June 30, 2016

Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 25, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$5,551,287	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,992,002	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,559,285	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,364,138	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$804,853	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$163,662	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$641,191	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$641,191 (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	62	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,567	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	133.5	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,346.75	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	262.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1151847, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2015, ended June 30, 2015

Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2016.

None of these figures is carried on this report.

CMS report record 1116890, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2014, ended June 30, 2014

Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 20, 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$5,145,467	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,701,607	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,443,860	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,441,792	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$2,068	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$26,427	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$28,495	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $28,495 (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	62	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,098	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	23	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	592	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	1,237.38	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	917.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1084709, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2013, ended June 30, 2013

Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 14, 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,755,907	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,424,195	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,331,712	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,116,925	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$214,787	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,597	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$233,384	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $228,461 (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	62	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,531	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	11	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	527	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	2,122.1	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	2,048.27	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1080228, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2012, ended June 30, 2012

Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$4,661,137	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,128,114	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,533,023	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,071,722	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$461,301	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,891	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$480,192	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $475,602 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	62	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,600	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	18	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicaid, in days	1,200	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	1,255.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1023464, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2011, ended June 30, 2011

Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Net patient revenue	$3,507,419	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,027,821	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$479,598	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$18,685	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$4,590	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $493,693 (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
Figure	As filed	Where it comes from
Total facility beds, all components	62	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,507	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	17	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	111.2	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,798.83	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,323.94	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 423462, read from the public cost report file SNFFY2010.zip.

Fiscal year 2010, ended June 30, 2010

Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 19, 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$3,419,788	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,953,294	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$466,494	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$17,693	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$6,248	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $477,939 (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	62	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,530	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	15	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	92.67	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,813.67	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,502	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 392830, read from the public cost report file SNFFY2009.zip.

Fiscal year 2009, ended June 30, 2009

Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 13, 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$3,189,110	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,067,589	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$121,521	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$16,785	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$9,269	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $129,037 (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	62	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,562	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	17	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	73.6	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	3,030.86	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,327.18	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 362209, read from the public cost report file SNFFY2008.zip.

Fiscal year 2008, ended June 30, 2008

Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 19, 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,053,530	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,891,570	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$161,960	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$15,984	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$3,866	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $174,078 (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	62	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,609	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	9	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	58.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	21,062	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	2,512.11	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 346330, read from the public cost report file SNFFY2007.zip.

Fiscal year 2007, ended June 30, 2007

Cost report for July 1, 2006 to June 30, 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	$3,039,644	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,786,817	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$252,827	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$28,992	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,482	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $280,337 (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	62	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,427	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	20	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	113.83	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,488.21	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,121.35	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 319324, read from the public cost report file SNFFY2006.zip.

Fiscal year 2006, ended June 30, 2006

Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 27, 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$2,791,513	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,692,528	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$98,985	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$43,041	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,465	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $140,561 (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	62	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,366	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	29	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	80.8	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,084.05	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	736.76	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 292794, read from the public cost report file SNFFY2005.zip.

Fiscal year 2005, ended June 30, 2005

Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 20, 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$2,728,327	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,587,889	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$140,438	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$29,037	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$1,040	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $168,435 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,052	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	19	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	145.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,256.13	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,108	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 269209, read from the public cost report file SNFFY2004.zip.

Fiscal year 2004, ended June 30, 2004

Cost report for July 1, 2003 to June 30, 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	$2,629,180	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,515,101	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$114,079	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$8,634	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$881	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $121,832 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,122	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	14	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	146.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,700.17	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,508.71	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 231658, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended June 30, 2003

Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 22, 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$2,451,917	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,332,762	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	$119,155	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,436	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$3,146	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $119,445 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	21,037	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	15	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	144.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,567.92	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,402.47	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 188556, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended June 30, 2002

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

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$2,359,180	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,372,702	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$13,522	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$12,637	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$858	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$1,743 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	20,900	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	19	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	68.33	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,444.36	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	1,100	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 186403, read from the public cost report file SNFFY2001.zip.

Fiscal year 2001, ended June 30, 2001

Cost report for December 8, 2000 to June 30, 2001 — a reporting period of 204 days, not a full year, on form CMS-2540-96, settled, processed by CMS on July 8, 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$1,506,025	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$1,620,192	CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients	−$114,167	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$3,937	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$525	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$110,755 (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	58	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	13,793	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	17	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	129	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,185.56	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	811.35	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 152744, 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 manager	Role	Type	Ownership percentage	Association
SOUTHWEST HEALTH CENTER INC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 06/10/2020
SWR1 INC	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	NO PERCENTAGE PROVIDED	since 06/10/2020
BRUNER, JOSHUA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/25/2025
DROESZLER, ZACHARY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/01/2024
ILLUMINUS INC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 10/17/2025
MARKS, JULIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/09/2025
MAUTHE, MATTHEW	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/10/2020
MAUTHE, MATTHEW	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 06/10/2020
ROGERS, DOUG	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2020
ROSEMEYER, JOSEPH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/01/2024
SMITH, KENNETH	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 11/01/2024
SOOKOCHOFF, JESSE	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/01/2020
MARKS, JULIE	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 06/09/2025
MAUTHE, MATTHEW	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 06/10/2020
THE HILLS AT CORTLAND RIDGE, INC.	DIRECT OWNERSHIP INTEREST	Organization	NOT APPLICABLE	since 06/10/2020
BRUNER, JOSHUA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/06/2024
DROESZLER, ZACHARY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/01/2024
ILLUMINUS INC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 06/10/2020
MARKS, JULIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/09/2025
MAUTHE, MATTHEW	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/10/2020

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SINSINAWA NURSING INC (enrollment ID O20110105000932).

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
SOUTHWEST HEALTH CENTER INC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	6/10/2020	Private equity company: No Real estate investment trust: No Holding company: No
SWR1 INC	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	6/10/2020	Private equity company: No Real estate investment trust: No Holding company: No
THE HILLS AT CORTLAND RIDGE, INC.	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	50	6/10/2020	Private equity company: No Real estate investment trust: No Holding company: No
ILLUMINUS INC	Organization	ADP OF THE SNF	Not stated in the filing	10/17/2025	Private equity company: No Real estate investment trust: No Holding company: No
JOSHUA BRUNER	Individual	ADP OF THE SNF	Not stated in the filing	4/25/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JULIE MARKS	Individual	ADP OF THE SNF	Not stated in the filing	6/9/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MATTHEW R MAUTHE	Individual	ADP OF THE SNF	Not stated in the filing	6/10/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ZACHARY J DROESZLER	Individual	ADP OF THE SNF	Not stated in the filing	8/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DOUG ROGERS	Individual	CORPORATE DIRECTOR	0	12/1/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JESSE SOOKOCHOFF	Individual	CORPORATE DIRECTOR	0	12/1/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JOSEPH R ROSEMEYER	Individual	CORPORATE DIRECTOR	0	11/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
KENNETH SMITH	Individual	CORPORATE DIRECTOR	0	11/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MATTHEW R MAUTHE	Individual	CORPORATE DIRECTOR	0	6/10/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JULIE MARKS	Individual	CORPORATE OFFICER	0	6/9/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MATTHEW R MAUTHE	Individual	CORPORATE OFFICER	0	6/10/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
THE HILLS AT CORTLAND RIDGE, INC.	Organization	DIRECT OWNERSHIP INTEREST	50	6/10/2020	Private equity company: No Real estate investment trust: No Holding company: No
ILLUMINUS INC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	6/10/2020	Private equity company: No Real estate investment trust: No Holding company: No
JOSHUA BRUNER	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	5/6/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JULIE MARKS	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	6/9/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MATTHEW R MAUTHE	Individual	OPERATIONAL/MANAGERIAL CONTROL	0	6/10/2020	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ZACHARY J DROESZLER	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	8/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

January 1, 2026: NICOLE L CHWALA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: NICOLE L CHWALA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: NICOLE L CHWALA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: MICHAEL J LIBBY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: MICHAEL J LIBBY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JULIE MARKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JULIE MARKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JULIE MARKS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JOSHUA BRUNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JOSHUA BRUNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 6, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JOSEPH R ROSEMEYER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: DOUG ROGERS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: ZACHARY J DROESZLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: ZACHARY J DROESZLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JESSE SOOKOCHOFF (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: THE HILLS AT CORTLAND RIDGE, INC. (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 10, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: THE HILLS AT CORTLAND RIDGE, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 10, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: SOUTHWEST HEALTH CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 10, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: KENNETH SMITH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: SWR1 INC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 10, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: ILLUMINUS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: MATTHEW R MAUTHE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 10, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv

Recent changes on this record

January 9, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
January 1, 2026: NICOLE L CHWALA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: NICOLE L CHWALA no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: NICOLE L CHWALA no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: MICHAEL J LIBBY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: MICHAEL J LIBBY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JULIE MARKS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JULIE MARKS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JULIE MARKS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JOSHUA BRUNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JOSHUA BRUNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since May 6, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JOSEPH R ROSEMEYER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: DOUG ROGERS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: ZACHARY J DROESZLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: ZACHARY J DROESZLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: JESSE SOOKOCHOFF (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: THE HILLS AT CORTLAND RIDGE, INC. (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 10, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: THE HILLS AT CORTLAND RIDGE, INC. (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 10, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: SOUTHWEST HEALTH CENTER INC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 10, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: KENNETH SMITH (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: SWR1 INC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 10, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: ILLUMINUS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since October 17, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
January 1, 2026: MATTHEW R MAUTHE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since June 10, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
December 20, 2024: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
December 12, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
February 2, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
February 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
January 28, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
January 21, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
January 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
February 8, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
January 25, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
January 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
January 20, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
November 14, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
January 24, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
January 18, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
January 19, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
January 13, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
June 19, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	December 22, 2025	December 22, 2025	4	5
2	August 15, 2024	August 15, 2024	11	5
3	April 19, 2023	April 19, 2023	19	7

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

Deficiencies cited

34 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
December 22, 2025	Health	F 0700	Quality of Life and Care Deficiencies	Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.	J	No	Deficient, Provider has date of correction	January 23, 2026
December 22, 2025	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	No	Deficient, Provider has date of correction	January 23, 2026
December 22, 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	January 23, 2026
December 22, 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	January 23, 2026
August 15, 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	September 16, 2024
August 15, 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	September 16, 2024
August 15, 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	September 16, 2024
August 15, 2024	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	J	No	Deficient, Provider has date of correction	September 16, 2024
August 15, 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.	G	No	Deficient, Provider has date of correction	November 1, 2024
August 15, 2024	Health	F 0729	Nursing and Physician Services Deficiencies	Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.	D	No	Deficient, Provider has date of correction	September 16, 2024
August 15, 2024	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	D	No	Deficient, Provider has date of correction	September 16, 2024
August 15, 2024	Health	F 0760	Pharmacy Service Deficiencies	Ensure that residents are free from significant medication errors.	D	No	Deficient, Provider has date of correction	September 16, 2024
August 15, 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	September 16, 2024
August 15, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	September 16, 2024
August 15, 2024	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	September 16, 2024
February 12, 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	J	Yes	Deficient, Provider has date of correction	March 1, 2024
February 12, 2024	Health	F 0711	Nursing and Physician Services Deficiencies	Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit.	D	Yes	Deficient, Provider has date of correction	March 1, 2024
February 12, 2024	Health	F 0740	Quality of Life and Care Deficiencies	Ensure each resident must receive and the facility must provide necessary behavioral health care and services.	D	Yes	Deficient, Provider has date of correction	March 1, 2024
November 30, 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	G	Yes	Deficient, Provider has date of correction	February 9, 2024
October 6, 2023	Health	F 0585	Resident Rights Deficiencies	Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.	D	Yes	Deficient, Provider has date of correction	October 30, 2023
October 6, 2023	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	October 30, 2023
October 6, 2023	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	Yes	Deficient, Provider has date of correction	October 30, 2023
October 6, 2023	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	Yes	Deficient, Provider has date of correction	October 30, 2023
October 6, 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	October 30, 2023
October 6, 2023	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	October 30, 2023
October 6, 2023	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	October 30, 2023
October 6, 2023	Health	F 0725	Nursing and Physician Services Deficiencies	Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.	F	Yes	Deficient, Provider has date of correction	October 30, 2023
October 6, 2023	Health	F 0868	Administration Deficiencies	Have the Quality Assessment and Assurance group have the required members and meet at least quarterly	F	Yes	Deficient, Provider has date of correction	October 30, 2023
October 6, 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 30, 2023
April 19, 2023	Health	F 0554	Resident Rights Deficiencies	Allow residents to self-administer drugs if determined clinically appropriate.	D	No	Deficient, Provider has date of correction	May 19, 2023
April 19, 2023	Health	F 0609	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.	D	No	Deficient, Provider has date of correction	May 19, 2023
April 19, 2023	Health	F 0610	Freedom from Abuse, Neglect, and Exploitation Deficiencies	Respond appropriately to all alleged violations.	D	No	Deficient, Provider has date of correction	May 19, 2023
April 19, 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	May 19, 2023
April 19, 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	May 19, 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
August 15, 2024	Fine	$49,823			61206
August 15, 2024	Payment Denial		September 13, 2024	49
October 6, 2023	Fine	$79,644			61065
October 6, 2023	Payment Denial		November 3, 2023	119

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	SINSINAWA NURSING INC
Date First Approved to Provide Medicare and Medicaid Services	2000-12-08
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	N
County/Parish	Grant
Telephone Number	6087489814
Chain Name	ILLUMINUS
Chain ID	874
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	62
Average Number of Residents per Day	59.3
Overall Rating	2
Health Inspection Rating	1
QM Rating	3
Long-Stay QM Rating	3
Short-Stay QM Rating	2
Processing Date	2026-09-01

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

Get an email when this record changes

One email a day naming what moved on ST DOMINIC VILLA: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On January 9, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.

Follow this record for $99/month

See a sample

Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.

The citable document for ST DOMINIC VILLA

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Wisconsin at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

The citable document with full history — $295

Other public records in Wisconsin

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 525660.