Skilled nursing facility · CMS certification number 535042
Shepherd of the Valley Rehabilitation and Wellness
Casper, Wyoming · Medicare and Medicaid
Certified beds, as filed in Care Compare: 192
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.
CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)
In Care Compare’s provider information: Penalties: 5 · Fines: 5 · Fines, total amount: $97,031.00 · Payment denials: 0. The most recent penalty on file: March 13, 2026, Fine, $26,685. 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, 2025 to September 29, 2025 — a reporting period of 271 days, not a full year, on form CMS-2540-10, as submitted, processed by CMS on March 18, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $19,922,712 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,031,618 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,891,094 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,298,330 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $592,764 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,553 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $594,317 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $594,317 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 52,224 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,525 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 29,462 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 10,581 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 43,568 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 105 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 124 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 102 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 331 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 237.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448601, read from the public cost report file SNF10FY2025.zip.
Fiscal year 2024, ended December 31, 2024
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 March 6, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $25,518,827 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,521,241 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,997,586 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,768,245 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $229,341 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,117 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $231,458 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $231,458 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,625 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 385 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448370, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for August 31, 2023 to December 31, 2023 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,268,989 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,448,265 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,820,724 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,232,656 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $588,068 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,321 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $596,389 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $596,390 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,536 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 117 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 365.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 175.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1438516, 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 October 18, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $24,886,321 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,508,987 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $17,377,334 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,551,437 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $825,897 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $112,016 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $937,913 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $937,912 (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 | 216 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,552 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 460 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 237.77 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1397586, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 11, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,423,161 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,318,969 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,104,192 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,280,445 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,176,253 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $937,081 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$239,172 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$239,170 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,050 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 7,615.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 300.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1366444, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,516,014 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,327,904 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,188,110 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,657,313 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $530,797 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,115,534 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,646,331 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,646,331 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,837 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 281 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 364.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 177.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340368, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for February 1, 2019 to December 31, 2019 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on December 20, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $22,206,215 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $8,109,289 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,096,926 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,856,918 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$759,992 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $634 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$759,358 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$759,360 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 49,242 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 347 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 510.44 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1307647, read from the public cost report file SNF10FY2019.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 March 9, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,603,064 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,678,825 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,924,239 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $18,298,329 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,374,090 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,865,991 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $491,901 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $491,900 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 60,248 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 490 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 397.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1252125, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 16, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,541,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,387,894 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,153,980 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,244,860 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,090,880 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,198,941 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $108,061 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $108,061 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,987 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 407 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 564.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214056, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,535,612 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,954,549 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,581,063 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,817,353 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,236,290 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,007,547 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $771,257 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $771,257 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 58,868 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 267 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 900.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 220.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1142358, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,778,239 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,947,648 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,830,591 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,952,588 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,121,997 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,798,011 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $676,014 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $676,014 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,957 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 257 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 694.87 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 225.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103807, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,233,184 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,931,664 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,301,520 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,245,138 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,943,618 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,428,128 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$515,490 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$515,490 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 57,931 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 777.34 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 298.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073361, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $18,597,940 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,300,073 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,297,867 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,175,352 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $122,515 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $414,658 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $537,173 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $537,173 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 64,106 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 250 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.96 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 525.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 256.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047010, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for August 1, 2011 to December 31, 2011 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on November 12, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,549,776 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,562,521 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,987,255 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,161,676 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$174,421 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,406,864 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $8,232,443 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $8,232,443 (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 | 192 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,183 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,031.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 406.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1019292, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on May 10, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,561,227 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,162,376 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$601,149 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $133,006 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$468,143 (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 | 192 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 61,882 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 157 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,047.49 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 394.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 399134, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 26, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,437,524 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,359,228 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$921,704 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $141,719 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$779,985 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,422 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 144 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 76.83 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 857.84 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 433.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 370810, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 1, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $12,495,884 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,995,695 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $500,189 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $91,232 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $591,421 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,864 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 206 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 322.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 310.37 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 310.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 338364, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 31, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,927,711 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,746,445 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $181,266 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $104,759 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $286,025 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,620 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 222 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.97 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 502.99 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 282.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305935, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 1, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,540,815 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,185,191 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $355,624 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $355,624 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,538 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 200 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 572.36 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 312.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 295575, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 9, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,075,516 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,048,858 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $26,658 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $26,658 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 59,390 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 232 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 510.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 255.99 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 273695, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for January 1, 2004 to September 30, 2004 — a reporting period of 273 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 10, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,269,997 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,276,785 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$6,788 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$6,788 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,106 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 225 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 209.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244797, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 17, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,213,169 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,932,962 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$719,793 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $57,380 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$662,413 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,232 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 517 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 120.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 234744, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,162,476 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,490,193 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$327,717 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $129,362 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$198,355 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 62,921 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 366 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 171.92 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 232531, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,909,017 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,229,088 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$320,071 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $186,547 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $387 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$133,911 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 63,368 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 351 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 180.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 173131, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,334,004 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,078,537 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$744,533 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $67,782 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $265 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$677,016 (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 | 180 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 64,423 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 251 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 256.67 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 128245, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on November 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,090,156 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,567,980 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$477,824 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,907 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$430,917 (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 | 204 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 70,340 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 343 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 205.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 75157, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 18, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,193,516 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,527,770 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $665,746 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $72,951 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $738,697 (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 | 207 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 71,894 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 368 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 195.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 75155, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled with audit, processed by CMS on November 12, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,961,350 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,576,016 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$614,666 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $116,916 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$497,750 (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 | 207 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 72,818 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 334 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 218.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 75153, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 21, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,107,520 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,328,713 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$221,193 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $77,094 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$144,099 (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 | 207 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 73,433 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 262 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 280.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 75152, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CONNELL, ERIC | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/30/2025 |
| COUVE FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/14/2025 |
| COUVE HEALTHCARE CONSULTING LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/14/2025 |
| LAWRENCE, ERIC | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/30/2025 |
| MILLER, JESSICA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/30/2025 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/14/2025 |
| SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/14/2025 |
| SHEPHERD OF THE VALLEY SNF REALTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/14/2025 |
| SIMMONS, BENJAMIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/30/2025 |
| SPIELMAN, SHIMON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/30/2025 |
| YENOWITZ, YITZCHOK | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/14/2025 |
| MORRISON, ROBERT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/30/2025 |
| SIMMONS, BENJAMIN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/30/2025 |
| CONNELL, ERIC | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/30/2025 |
| COUVE FINANCIAL SERVICES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/30/2025 |
| COUVE HEALTHCARE CONSULTING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/30/2025 |
| LAWRENCE, ERIC | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/30/2025 |
| MILLER, JESSICA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/30/2025 |
| MORRISON, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/30/2025 |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/30/2025 |
| SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/30/2025 |
| SIMMONS, BENJAMIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/30/2025 |
| SPIELMAN, SHIMON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/30/2025 |
| WINTERHOLLER, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/30/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of NORTH BIG HORN HOSPITAL DISTRICT (enrollment ID O20251120002737).
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 |
|---|---|---|---|---|---|
| NORTH BIG HORN HOSPITAL DISTRICT | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BENJAMIN TODD SIMMONS | Individual | ADP OF THE SNF | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COUVE FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| COUVE HEALTHCARE CONSULTING LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ERIC J LAWRENCE | Individual | ADP OF THE SNF | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIC S CONNELL | Individual | ADP OF THE SNF | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JESSICA MILLER | Individual | ADP OF THE SNF | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHEPHERD OF THE VALLEY SNF REALTY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHIMON SPIELMAN | Individual | ADP OF THE SNF | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN TODD SIMMONS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT B MORRISON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN TODD SIMMONS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| COUVE FINANCIAL SERVICES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| COUVE HEALTHCARE CONSULTING LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID WINTERHOLLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIC J LAWRENCE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIC S CONNELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JESSICA MILLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PACIFIC NORTHWEST OPCO MANAGEMENT LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROBERT B MORRISON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SHIMON SPIELMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- March 1, 2026: WYOMING SNF CONSULTING LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WYOMING SNF CONSULTING LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WYOMING SNF CONSULTING LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HEATHER JACKSON no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HEATHER JACKSON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HEATHER JACKSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CH PACIFIC NORTHWEST HOLDINGS LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CH PACIFIC NORTHWEST HOLDINGS LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CH PACIFIC NORTHWEST HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHIMON SPIELMAN no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHIMON SPIELMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (WY) LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YISROEL E HERZKA no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YISROEL E HERZKA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YISROEL E HERZKA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK YENOWITZ no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK YENOWITZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK YENOWITZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK YENOWITZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK YENOWITZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHEPHERD OF THE VALLEY SNF REALTY LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PACIFIC NORTHWEST OPCO MANAGEMENT LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: COUVE FINANCIAL SERVICES LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HAROLD PERLMAN no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HAROLD PERLMAN no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HAROLD PERLMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LEONOR LOWE no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LEONOR LOWE no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LEONOR LOWE no longer appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LEONOR LOWE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: COUVE HEALTHCARE CONSULTING LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JESSICA MILLER no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WITZCORP GLOBAL LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WITZCORP GLOBAL LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WITZCORP GLOBAL LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ERIC J LAWRENCE no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: A listing under INDIRECT OWNERSHIP INTEREST no longer appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHIMON SPIELMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHIMON SPIELMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ROBERT B MORRISON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ROBERT B MORRISON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BENJAMIN TODD SIMMONS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BENJAMIN TODD SIMMONS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BENJAMIN TODD SIMMONS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHEPHERD OF THE VALLEY SNF REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PACIFIC NORTHWEST OPCO MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PACIFIC NORTHWEST OPCO MANAGEMENT LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ERIC S CONNELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ERIC S CONNELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: COUVE FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: COUVE FINANCIAL SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: NORTH BIG HORN HOSPITAL DISTRICT (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: COUVE HEALTHCARE CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since October 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: COUVE HEALTHCARE CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JESSICA MILLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JESSICA MILLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVID WINTERHOLLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ERIC J LAWRENCE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ERIC J LAWRENCE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 30, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- November 1, 2025: LEO SATRIAWAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LEO SATRIAWAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WYOMING SNF CONSULTING LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WYOMING SNF CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WYOMING SNF CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HEATHER JACKSON (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HEATHER JACKSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HEATHER JACKSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CH PACIFIC NORTHWEST HOLDINGS LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CH PACIFIC NORTHWEST HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SHIMON SPIELMAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SHIMON SPIELMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: YISROEL E HERZKA (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: YISROEL E HERZKA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: YITZCHOK YENOWITZ (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: YITZCHOK YENOWITZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SHEPHERD OF THE VALLEY SNF REALTY LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SHEPHERD OF THE VALLEY SNF REALTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PACIFIC NORTHWEST OPCO MANAGEMENT LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PACIFIC NORTHWEST OPCO MANAGEMENT LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: COUVE FINANCIAL SERVICES LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: COUVE FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HAROLD PERLMAN (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HAROLD PERLMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HAROLD PERLMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LEONOR LOWE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LEONOR LOWE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LEONOR LOWE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: LEONOR LOWE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: COUVE HEALTHCARE CONSULTING LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: COUVE HEALTHCARE CONSULTING LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: COUVE HEALTHCARE CONSULTING LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JESSICA MILLER (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JESSICA MILLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JESSICA MILLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WITZCORP GLOBAL LLC (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WITZCORP GLOBAL LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERIC J LAWRENCE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERIC J LAWRENCE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERIC J LAWRENCE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: A listing under INDIRECT OWNERSHIP INTEREST, with no owner named, first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- April 1, 2024: EMPRES HEALTHCARE GROUP, INC. EMPLOYEE STOCK OWNERSHIP TRUST no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: MICHAEL J MILLER no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: MICHAEL J MILLER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: MARTY DAVIS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: BRENT WEIL no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: EMPRES FINANCIAL SERVICES LLC no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: EMPRES FINANCIAL SERVICES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: MIDCAP FINANCIAL TRUST no longer appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: GREATBANC TRUST COMPANY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: EMPRES WYOMING HEALTHCARE LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: LEA LOWE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: JESSICA MILLER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: EMPRES HEALTHCARE MANAGEMENT LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: EMPRES HEALTHCARE GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: KIMBERLY LAFOUNTAIN no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: CH PACIFIC NORTHWEST HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: SHIMON SPIELMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: SHIMON SPIELMAN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (WY) LLC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: YISROEL E HERZKA (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: YITZCHOK YENOWITZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: YITZCHOK YENOWITZ (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: YITZCHOK YENOWITZ (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: PACIFIC NORTHWEST OPCO MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: COUVE FINANCIAL SERVICES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: LEO SATRIAWAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: LEO SATRIAWAN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS, LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
- April 1, 2024: WITZCORP GLOBAL LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2024; associated with this enrollment since August 31, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-04-01.csv
Recent changes on this record
- September 1, 2026: special_focus_status: SFF Candidate (blank in the earlier file). NH_ProviderInfo_Sep2026_3.csv
- July 30, 2026: A deficiency was cited under tag F 0880, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0755, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0740, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0695, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0677, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0656, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0637, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0628, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0550, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0761, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0679, scope and severity E. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: A deficiency was cited under tag F 0600, scope and severity G. NH_HealthCitations_Sep2026_2.csv
- July 30, 2026: An inspection was recorded in inspection cycle 1. NH_SurveySummary_Sep2026_2.csv
- March 18, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2025.zip
- March 6, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- March 1, 2026: WYOMING SNF CONSULTING LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WYOMING SNF CONSULTING LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: WYOMING SNF CONSULTING LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HEATHER JACKSON no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HEATHER JACKSON no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: HEATHER JACKSON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CH PACIFIC NORTHWEST HOLDINGS LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CH PACIFIC NORTHWEST HOLDINGS LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CH PACIFIC NORTHWEST HOLDINGS LLC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHIMON SPIELMAN no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHIMON SPIELMAN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PACIFIC NORTHWEST SNF OPERATIONS HOLDINGS (WY) LLC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YISROEL E HERZKA no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YISROEL E HERZKA no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YISROEL E HERZKA no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK YENOWITZ no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK YENOWITZ no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK YENOWITZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK YENOWITZ no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: YITZCHOK YENOWITZ no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHEPHERD OF THE VALLEY SNF REALTY LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PACIFIC NORTHWEST OPCO MANAGEMENT LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SHEPHERD OF THE VALLEY SNF OPERATIONS, LLC no longer appears as DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: COUVE FINANCIAL SERVICES LLC no longer appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | July 30, 2026 | July 30, 2026 | 16 | 11 |
| 2 | October 31, 2024 | October 31, 2024 | 13 | 5 |
| 3 | August 10, 2023 | August 10, 2023 | 14 | 8 |
| 3 | August 31, 2022 | August 31, 2022 | 11 | 16 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
51 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 30, 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 | Yes | Deficient, Provider has no plan of correction | |
| July 30, 2026 | 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. | G | Yes | Past Non-Compliance | |
| July 30, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has no plan of correction | |
| July 30, 2026 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | Yes | Deficient, Provider has no plan of correction | |
| July 30, 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 no plan of correction | |
| July 30, 2026 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has no plan of correction | |
| July 30, 2026 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has no plan of correction | |
| July 30, 2026 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has no plan of correction | |
| July 30, 2026 | 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 no plan of correction | |
| July 30, 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 no plan of correction | |
| July 30, 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. | E | No | Deficient, Provider has no plan of correction | |
| July 30, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has no plan of correction | |
| March 13, 2026 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Yes | Deficient, Provider has date of correction | April 3, 2026 |
| March 13, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | K | Yes | Past Non-Compliance | February 16, 2026 |
| March 13, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | April 3, 2026 |
| January 29, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | February 16, 2026 |
| May 22, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Past Non-Compliance | May 16, 2025 |
| March 20, 2025 | 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. | G | Yes | Deficient, Provider has date of correction | April 4, 2025 |
| March 20, 2025 | 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 | April 4, 2025 |
| March 20, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | April 4, 2025 |
| October 31, 2024 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| October 31, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | December 6, 2024 |
| October 31, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | December 6, 2024 |
| October 31, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | No | Deficient, Provider has date of correction | December 6, 2024 |
| October 31, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | December 6, 2024 |
| October 31, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | December 6, 2024 |
| October 31, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | December 6, 2024 |
| September 10, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Yes | Past Non-Compliance | September 6, 2024 |
| September 10, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| August 15, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | September 13, 2024 |
| March 22, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Yes | Deficient, Provider has date of correction | April 26, 2024 |
| February 1, 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Past Non-Compliance | January 23, 2024 |
| November 9, 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 | Yes | Deficient, Provider has date of correction | December 8, 2023 |
| August 10, 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 | September 4, 2023 |
| August 10, 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 | September 4, 2023 |
| August 10, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | September 4, 2023 |
| August 10, 2023 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | September 4, 2023 |
| August 10, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | September 4, 2023 |
| August 10, 2023 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | September 4, 2023 |
| August 10, 2023 | Health | F 0803 | Nutrition and Dietary Deficiencies | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | No | Deficient, Provider has date of correction | September 4, 2023 |
| August 10, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | September 4, 2023 |
| August 10, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | September 4, 2023 |
| August 10, 2023 | Health | F 0919 | Environmental Deficiencies | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | No | Deficient, Provider has date of correction | September 4, 2023 |
| August 31, 2022 | Health | F 0636 | Resident Assessment and Care Planning Deficiencies | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | E | No | Deficient, Provider has date of correction | October 7, 2022 |
| August 31, 2022 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | October 7, 2022 |
| August 31, 2022 | 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. | E | No | Deficient, Provider has date of correction | October 7, 2022 |
| August 31, 2022 | 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 | October 7, 2022 |
| August 31, 2022 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | October 7, 2022 |
| August 31, 2022 | 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. | E | No | Deficient, Provider has date of correction | October 7, 2022 |
| August 31, 2022 | Health | F 0839 | Administration Deficiencies | Employ staff that are licensed, certified, or registered in accordance with state laws. | D | No | Deficient, Provider has date of correction | October 7, 2022 |
| August 31, 2022 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 7, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| March 13, 2026 | Fine | $26,685 | 137826 | ||
| May 22, 2025 | Fine | $12,438 | 134341 | ||
| March 20, 2025 | Fine | $15,857 | 100448 | ||
| August 15, 2024 | Fine | $7,718 | 100435 | ||
| March 22, 2024 | Fine | $34,333 | 100430 |
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 | For profit - Corporation |
| Legal Business Name | NORTH BIG HORN HOSPITAL DISTRICT |
| Date First Approved to Provide Medicare and Medicaid Services | 1990-11-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Natrona |
| Telephone Number | 3072349381 |
| Chain Name | EVERGREEN HEALTHCARE GROUP |
| Chain ID | 846 |
| Special Focus Status | SFF Candidate |
| Provider Changed Ownership in Last 12 Months | Y |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 192 |
| Average Number of Residents per Day | 161.9 |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 1 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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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 September 1, 2026: special_focus_status: SFF Candidate (blank in the earlier file). That is one line of the alert.
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The citable document for Shepherd of the Valley Rehabilitation and Wellness
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 Wyoming at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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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 535042.