Skilled nursing facility · CMS certification number 525672
MEADOWBROOK AT CHETEK
CHETEK, Wisconsin · Medicare and Medicaid
Certified beds, as filed in Care Compare: 97
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,259,196 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,360 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,250,836 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,965,345 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$714,509 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $347,270 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$367,239 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$367,239 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 35,502 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,277 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 16,087 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 4,871 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 23,235 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 98 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 75 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 47 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 220 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 105.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1435857, 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 12, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,666,533 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $484,130 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,182,403 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,340,250 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,157,847 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $586,451 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$571,396 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$571,396 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,058 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 84.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1383135, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 8, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,514,168 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,024,785 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,489,383 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,046,566 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$557,183 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $364,219 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$192,964 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$192,964 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,604 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 217.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1350412, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 18, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,379,439 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,285,852 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,093,587 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,315,121 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$221,534 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $556,332 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $334,798 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $334,798 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,598 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 147 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 236.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330120, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for December 1, 2019 to December 31, 2020 — a reporting period of 396 days, on form CMS-2540-10, settled, processed by CMS on August 19, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,715,910 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,596,266 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,119,644 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,325,819 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $793,825 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $182,126 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $975,951 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $975,951 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,445 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 280 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 149.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1295424, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended November 30, 2019
Cost report for January 1, 2019 to November 30, 2019 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on August 6, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,675,849 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,080,443 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,595,406 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,941,903 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$346,497 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $339 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$346,158 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$346,158 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,492 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 128.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1262847, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,169,550 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,299,780 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,869,770 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,673,467 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $196,303 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$2,523 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $193,780 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $193,780 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,819 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 161 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.31 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 652.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241845, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,781,642 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,417,601 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,364,041 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,128,723 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $235,318 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$6,755 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $228,563 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $228,563 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,902 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 123 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 396.37 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207719, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for April 14, 2016 to December 31, 2016 — a reporting period of 261 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 26, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,642,159 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,460,892 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,181,267 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,045,479 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $135,788 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,914 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $138,702 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $138,527 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,899 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 482.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 215.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1175155, read from the public cost report file SNF10FY2016.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, as submitted, processed by CMS on December 18, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,236,669 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $181,132 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,055,537 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,837,132 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$781,595 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $649,680 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$131,915 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$131,915 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,489 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 538.15 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 219.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1115739, 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 February 4, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,727,683 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $152,347 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,575,336 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,176,588 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$601,252 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $659,153 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $57,901 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $57,901 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,964 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 581.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 186.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1085419, 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 May 1, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,628,472 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $130,579 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,497,893 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,274,780 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$776,887 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $677,178 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$99,709 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$99,709 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,403 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 113 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 702.31 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 295.6 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1089592, 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 25, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,393,195 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $161,665 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,231,530 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,040,807 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$809,277 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $730,327 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$78,950 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$78,950 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,105 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 14.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 608.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 220.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024097, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,311,923 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,071,039 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$759,116 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $650,604 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$108,512 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,696 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 533.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 253.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423285, 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 February 11, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,447,464 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,820,558 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$373,094 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $561,362 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $188,268 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,273 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 449.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 212.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 393874, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,016,372 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,397,346 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$380,974 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $514,433 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $133,459 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,129 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 139 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 490.26 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 245.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361986, 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 March 24, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,674,685 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,031,309 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$356,624 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $383,918 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $27,294 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,273 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.23 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 444.43 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 212.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 335844, 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 November 3, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,645,010 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,928,272 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$283,262 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $358,292 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $75,030 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 34,647 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 663.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 281.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 327925, 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 May 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,709,875 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,616,981 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $92,894 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $270,046 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $362,940 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 97 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,408 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 174 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 493.86 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 192 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 276586, 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 September 19, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,323,331 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,322,457 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $874 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,287 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $65,161 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,141 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 161 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 403.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 205.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 263506, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for May 10, 2004 to June 30, 2004 — a reporting period of 51 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 10, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $655,600 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $611,262 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $44,338 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,730 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $56,068 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 4,774 | 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 | 23.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 410.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 280.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 230521, read from the public cost report file SNFFY2004.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BOHL, JENNIFER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2019 |
| CHETEK NURSING REALTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/01/2021 |
| LINDEMANN, MITUL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2019 |
| MASLOVSKY, BORIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2019 |
| PUKSHANSKY, ROSTISLAV | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2019 |
| REINHART BOERNER VAN DEUREN S.C. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2019 |
| REISNER, PETER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2015 |
| ROTH & CO, LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2019 |
| SYNERGY SENIOR CARE LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/03/2025 |
| VANDER VELDEN, BARBARA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2019 |
| WIPFLI LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2019 |
| VANDER VELDEN, BARBARA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2019 |
| LINDEMANN, MITUL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2019 |
| BOHL, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2019 |
| LINDEMANN, MITUL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2019 |
| PUKSHANSKY, ROSTISLAV | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2019 |
| REISNER, PETER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2019 |
| SYNERGY SENIOR CARE LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2019 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of CHETEK NURSING AND REHAB LLC (enrollment ID O20191211000505).
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 |
|---|---|---|---|---|---|
| BORIS MASLOVSKY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROSTISLAV PUKSHANSKY | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 50 | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BARBARA M VANDER VELDEN | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BORIS MASLOVSKY | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHETEK NURSING REALTY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| JENNIFER BOHL | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MITUL R LINDEMANN | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PETER D REISNER | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| REINHART BOERNER VAN DEUREN S.C. | Organization | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROSTISLAV PUKSHANSKY | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROTH & CO, LLP | Organization | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| SYNERGY SENIOR CARE LLC | Organization | ADP OF THE SNF | Not stated in the filing | 3/3/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| WIPFLI LLP | Organization | ADP OF THE SNF | Not stated in the filing | 12/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| BARBARA M VANDER VELDEN | Individual | CORPORATE DIRECTOR | 100 | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MITUL R LINDEMANN | Individual | CORPORATE OFFICER | 100 | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JENNIFER BOHL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MITUL R LINDEMANN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PETER D REISNER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROSTISLAV PUKSHANSKY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SYNERGY SENIOR CARE LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- August 1, 2025: JENNIFER BOHL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER BOHL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER BOHL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MITUL R LINDEMANN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MITUL R LINDEMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PETER D REISNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PETER D REISNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SYNERGY SENIOR CARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SYNERGY SENIOR CARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BORIS MASLOVSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: REINHART BOERNER VAN DEUREN S.C. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROSTISLAV PUKSHANSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROSTISLAV PUKSHANSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER BOHL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER BOHL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CHETEK NURSING REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WIPFLI LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROTH & COMPANY, LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BARBARA M VANDER VELDEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
Recent changes on this record
- July 16, 2026: A deficiency was cited under tag F 0627, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 1, 2025: JENNIFER BOHL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER BOHL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER BOHL no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MITUL R LINDEMANN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: MITUL R LINDEMANN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PETER D REISNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: PETER D REISNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SYNERGY SENIOR CARE LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 3, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: SYNERGY SENIOR CARE LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BORIS MASLOVSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: REINHART BOERNER VAN DEUREN S.C. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROSTISLAV PUKSHANSKY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROSTISLAV PUKSHANSKY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER BOHL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: JENNIFER BOHL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: CHETEK NURSING REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since October 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: WIPFLI LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: ROTH & COMPANY, LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- August 1, 2025: BARBARA M VANDER VELDEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since December 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
- June 12, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 8, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 18, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- August 19, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- August 6, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 22, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 26, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- January 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- December 18, 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- May 1, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- February 4, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- January 25, 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
- February 11, 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
- March 24, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- November 3, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- May 1, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 21, 2026 | May 21, 2026 | 16 | 4 |
| 2 | March 19, 2025 | March 19, 2025 | 12 | 4 |
| 3 | April 24, 2024 | April 24, 2024 | 6 | 5 |
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 |
|---|---|---|---|---|---|---|---|---|
| July 16, 2026 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has date of correction | August 9, 2026 |
| May 21, 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | June 15, 2026 |
| May 21, 2026 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | E | No | Deficient, Provider has date of correction | June 15, 2026 |
| May 21, 2026 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 15, 2026 |
| May 21, 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | June 15, 2026 |
| May 21, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | June 15, 2026 |
| May 21, 2026 | 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 | June 15, 2026 |
| May 21, 2026 | Health | F 0687 | Quality of Life and Care Deficiencies | Provide appropriate foot care. | D | No | Deficient, Provider has date of correction | June 15, 2026 |
| May 21, 2026 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | June 15, 2026 |
| May 21, 2026 | Health | F 0691 | Quality of Life and Care Deficiencies | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | June 15, 2026 |
| May 21, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | June 15, 2026 |
| February 3, 2026 | 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 | February 28, 2026 |
| February 3, 2026 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | February 28, 2026 |
| February 3, 2026 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | February 28, 2026 |
| February 3, 2026 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | Yes | Deficient, Provider has date of correction | February 28, 2026 |
| February 3, 2026 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Yes | Deficient, Provider has date of correction | February 28, 2026 |
| March 19, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | April 19, 2025 |
| March 19, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | April 19, 2025 |
| March 19, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | April 19, 2025 |
| March 19, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | April 19, 2025 |
| March 19, 2025 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | No | Deficient, Provider has date of correction | April 19, 2025 |
| March 19, 2025 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | No | Deficient, Provider has date of correction | April 19, 2025 |
| March 19, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 19, 2025 |
| February 26, 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 | Yes | Deficient, Provider has date of correction | March 14, 2025 |
| October 29, 2024 | Health | F 0569 | Resident Rights Deficiencies | Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | D | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| October 29, 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 | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| October 29, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| October 29, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | November 15, 2024 |
| April 24, 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 | May 17, 2024 |
| April 24, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | May 17, 2024 |
| April 24, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure 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. | D | No | Deficient, Provider has date of correction | May 17, 2024 |
| April 24, 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. | E | No | Deficient, Provider has date of correction | May 17, 2024 |
| April 24, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 17, 2024 |
| March 20, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | April 12, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Limited Liability company |
| Legal Business Name | CHETEK NURSING AND REHAB LLC |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-05-10 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Barron |
| Telephone Number | 7159244891 |
| Chain Name | SYNERGY SENIOR CARE |
| Chain ID | 502 |
| 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 | 97 |
| Average Number of Residents per Day | 74.6 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on MEADOWBROOK AT CHETEK: 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 July 16, 2026: A deficiency was cited under tag F 0627, scope and severity D. That is one line of the alert.
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 MEADOWBROOK AT CHETEK
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.
Other public records in Wisconsin
- DSO PROPERTIES, LLC / TLB WOOD PRODUCTS, LLC, SEYMOUR Water discharge permit
- ESSCO INCORPORATED, GREEN BAY Water discharge permit
- WOW LOGISTICS COMPANY, HOBART Water discharge permit
- STRUCTURAL COMPONENTS CORPORATION, GREEN BAY Water discharge permit
- GREEN BAY AUSTIN STRAUBEL INTERNATIONAL AIRPORT, GREEN BAY Water discharge permit
- HOBART STORAGE DEVELOPMENT, HOBART Water discharge permit
- STATE HIGHWAY 29 AND COUNTY HIGHWAY VV INTERCHANGE, GREEN BAY Water discharge permit
- AMERHART 2461 LARSEN ROAD, GREEN BAY Water discharge permit
- PITLIK AND WICK, INC. - CRUSHER #4, EAGLE RIVER Air emission source
- ERCO WORLDWIDE (USA) INC - PORT EDWARDS PLT, NEKOOSA Air emission source
- ANR PIPELINE CO - MARSHFIELD COMPRESSOR, MARSHFIELD Air emission source
- MATALCO WISCONSIN LLC, WISCONSIN RAPIDS Air emission source
- UNIFIRST CORP, WISCONSIN RAPIDS Air emission source
- MARSHFIELD UTILITIES COMBUSTION TURBINE, MARSHFIELD Air emission source
- ECC CORROSION INC, WISCONSIN RAPIDS Air emission source
- ND WQC LLC, WISCONSIN RAPIDS Air emission source
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 525672.