Velarion Records

Skilled nursing facility · CMS certification number 145949

HILLCREST HOME

GENESEO, Illinois · Medicare and Medicaid

Certified beds, as filed in Care Compare: 99

Download this facility’s record (CSV)

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

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for December 1, 2023 to November 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 28, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$5,667,686CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$22,714CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,644,972CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,530,153CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$885,181CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$855,067CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$30,114CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$30,114 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components38,053CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days420CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,990CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days14,139CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components23,549CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1420075, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended November 30, 2023

Cost report for December 1, 2022 to November 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 29, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,040,103CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$6,040,103CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,609,734CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$569,631CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,243,915CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$674,284CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $674,284 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components99CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,651CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1390499, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended November 30, 2022

Cost report for December 1, 2021 to November 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$5,371,160CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,371,160CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,439,742CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,068,582CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,742,346CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$673,764CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $673,764 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,999CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1360198, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended November 30, 2021

Cost report for December 1, 2020 to November 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 10, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$4,635,843CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,635,843CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,816,655CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,180,812CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$984,719CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$196,093CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$196,093 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,532CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1329377, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended November 30, 2020

Cost report for December 1, 2019 to November 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 15, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$5,421,436CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,421,436CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,649,801CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,228,365CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,503,991CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$275,626CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $275,626 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components32,805CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components7CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days106.29CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days4,686.43CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1289342, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended November 30, 2019

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

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$5,522,765CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,522,765CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,253,320CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$730,555CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$914,488CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$183,933CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $183,933 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components33,930CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1255908, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended November 30, 2018

Cost report for December 1, 2017 to November 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 6, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$5,375,191CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,375,191CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,208,772CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$833,581CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,010,930CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$177,349CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $177,349 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,044CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1223776, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended November 30, 2017

Cost report for December 1, 2016 to November 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 22, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$5,186,982CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,186,982CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,138,962CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$951,980CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$851,092CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$100,888CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$100,888 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,489CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1189925, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended November 30, 2016

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

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$5,174,480CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,174,480CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,375,928CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,201,448CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,024,818CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$176,630CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$176,630 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,312CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components23CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.39CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days1,535.3CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1157953, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended November 30, 2015

Cost report for December 1, 2014 to November 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 31, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$5,096,807CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,096,807CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,896,055CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$799,248CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$866,252CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$67,004CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $67,004 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,075CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components34CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.76CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days1,031.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1125180, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended November 30, 2014

Cost report for December 1, 2013 to November 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 22, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$5,019,634CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,019,634CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,791,764CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$772,130CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$929,907CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$157,777CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $157,777 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,765CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components30CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days54.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days1,225.5CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1099104, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended November 30, 2013

Cost report for December 1, 2012 to November 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 27, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$4,863,144CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,863,144CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,662,108CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$798,964CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$904,659CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$105,695CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $105,695 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,138CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components23CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days64.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days1,571.22CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1060852, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended November 30, 2012

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

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$5,303,601CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$5,303,601CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,554,867CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$251,266CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$934,892CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$683,626CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $683,626 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,778CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components25CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days1,471.12CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1055988, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended November 30, 2011

Cost report for December 1, 2010 to November 30, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 25, 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$4,651,550CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,651,550CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,181,291CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$529,741CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$675,321CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$145,580CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $145,580 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,573CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1011711, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended November 30, 2010

Cost report for December 1, 2009 to November 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 27, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$4,118,713CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,977,559CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$858,846CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$679,366CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$2CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$179,482 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,535CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components71CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days75.45CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days965.06CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days458.24CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 408261, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended November 30, 2009

Cost report for December 1, 2008 to November 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 23, 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,308,851CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,861,692CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$552,841CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$613,704CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $60,863 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,554CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components87CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days934CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days385.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 377570, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended November 30, 2008

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

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$3,979,512CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,692,959CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$713,447CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$661,838CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$51,609 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,936CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components86CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days604.15CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days382.98CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 348078, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended November 30, 2007

Cost report for December 1, 2006 to November 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 23, 2008.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,111,701CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,419,685CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$307,984CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$930,968CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $622,984 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,608CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components75CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days897.94CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days421.44CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 319387, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended November 30, 2006

Cost report for December 1, 2005 to November 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 8, 2007.

Revenue and expenses, fiscal year 2006
FigureAs filedWhere it comes from
Net patient revenue$3,804,887CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,661,138CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$856,251CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$714,757CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$141,494 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2006
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,037CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components95CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days66.38CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days561.1CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days347.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 278168, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended November 30, 2005

Cost report for December 1, 2004 to November 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 17, 2006.

Revenue and expenses, fiscal year 2005
FigureAs filedWhere it comes from
Net patient revenue$4,116,863CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,749,898CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$633,035CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$615,101CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$17,934 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2005
FigureAs filedWhere it comes from
Total facility beds, all components106CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components35,387CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components125CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days75.35CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days385.08CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days283.1CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249495, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended November 30, 2004

Cost report for December 1, 2003 to November 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 31, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$4,422,849CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,120,101CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$697,252CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$676,351CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$20,901 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components39,479CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components149CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.89CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days362.51CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days264.96CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 218482, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended November 30, 2003

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

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$4,570,244CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,105,216CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$534,972CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$631,879CMS-2540-96 worksheet G300000 line 2600 column 100

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

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components43,210CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components155CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.03CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days344.34CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days278.77CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 186119, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended November 30, 2002

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

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$4,788,945CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,492,789CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$703,844CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$589,761CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$114,083 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components47,108CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components169CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days70.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days325.45CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days278.75CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 186482, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended November 30, 2001

Cost report for December 1, 2000 to November 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 11, 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$4,987,535CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,517,049CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$529,514CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$590,574CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$2,556CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $58,504 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components180CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components48,950CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components164CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days71.46CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days348.73CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days298.48CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 159347, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended November 30, 2000

Cost report for December 1, 1999 to November 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 15, 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$5,571,214CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,325,166CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$246,048CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$85,286CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $331,334 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components194CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components51,606CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components194CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days96.04CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,961.11CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days266.01CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 86334, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended November 30, 1999

Cost report for December 1, 1998 to November 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 9, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$5,380,026CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,266,072CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$113,954CMS-2540-96 worksheet G300000 line 500 column 100

Net income: $113,954 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components194CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components50,683CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components204CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.23CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days288.65CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days248.45CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 86332, read from the public cost report file SNFFY1999.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
COUNTY OF HENRY5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 09/28/2011
COUNTY OF HENRY5% OR GREATER SECURITY INTERESTOrganizationNOT APPLICABLEsince 09/28/2011
BEAM, VERONICAADP OF THE SNFIndividualNOT APPLICABLEsince 08/02/2021
BURTON, JASONADP OF THE SNFIndividualNOT APPLICABLEsince 05/01/2006
COUNTY OF HENRYADP OF THE SNFOrganizationNOT APPLICABLEsince 09/28/2011
HARRIS, CAROLADP OF THE SNFIndividualNOT APPLICABLEsince 03/25/2019
KAUFMAN, JULIEADP OF THE SNFIndividualNOT APPLICABLEsince 09/28/2011
SCHULTZ, HELENADP OF THE SNFIndividualNOT APPLICABLEsince 06/17/2024
SIMONET, CINDYADP OF THE SNFIndividualNOT APPLICABLEsince 04/29/2020
STALEY, THOMASADP OF THE SNFIndividualNOT APPLICABLEsince 04/11/2018
TIPPITT, ROBINADP OF THE SNFIndividualNOT APPLICABLEsince 08/02/2021
TIPPITT, ROBINCORPORATE DIRECTORIndividualNOT APPLICABLEsince 12/30/2024
BEAM, VERONICAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/02/2021
BURTON, JASONOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2006
COUNTY OF HENRYOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 09/28/2011
HARRIS, CAROLOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/25/2019
KAUFMAN, JULIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/11/1989
SCHULTZ, HELENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/17/2024
SIMONET, CINDYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/29/2020
STALEY, THOMASOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/11/2018
TIPPITT, ROBINOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 08/02/2021

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HILLCREST HOME (enrollment ID O20111209000155).

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

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
COUNTY OF HENRYOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1009/28/2011
Private equity company: No
Real estate investment trust: No
Holding company: No
COUNTY OF HENRYOrganization5% OR GREATER SECURITY INTEREST1009/28/2011
Private equity company: No
Real estate investment trust: No
Holding company: No
CAROL CASEY HARRISIndividualADP OF THE SNFNot stated in the filing3/25/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CINDY LEE SIMONETIndividualADP OF THE SNFNot stated in the filing4/29/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
COUNTY OF HENRYOrganizationADP OF THE SNFNot stated in the filing9/28/2011
Private equity company: No
Real estate investment trust: No
Holding company: No
HELEN SCHULTZIndividualADP OF THE SNFNot stated in the filing6/17/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JASON BURTONIndividualADP OF THE SNFNot stated in the filing5/1/2006
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JULIE J KAUFMANIndividualADP OF THE SNFNot stated in the filing9/28/2011
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBIN TIPPITTIndividualADP OF THE SNFNot stated in the filing8/2/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THOMAS R STALEYIndividualADP OF THE SNFNot stated in the filing4/11/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
VERONICA BEAMIndividualADP OF THE SNFNot stated in the filing8/2/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBIN TIPPITTIndividualCORPORATE DIRECTOR012/30/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CAROL CASEY HARRISIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing3/25/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
CINDY LEE SIMONETIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/29/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
COUNTY OF HENRYOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing9/28/2011
Private equity company: No
Real estate investment trust: No
Holding company: No
HELEN SCHULTZIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/17/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JASON BURTONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing5/1/2006
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JULIE J KAUFMANIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/11/1989
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBIN TIPPITTIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/2/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THOMAS R STALEYIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/11/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
VERONICA BEAMIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing8/2/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

  • August 1, 2025: JULIE J KAUFMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: VERONICA BEAM (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: VERONICA BEAM (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: HELEN SCHULTZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 17, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: HELEN SCHULTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 17, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: JULIE J KAUFMAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 28, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: CAROL CASEY HARRIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 25, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: CAROL CASEY HARRIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 25, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: COUNTY OF HENRY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 28, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: COUNTY OF HENRY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 28, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: COUNTY OF HENRY (5% OR GREATER SECURITY INTEREST) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since September 28, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: JASON BURTON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 1, 2006. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: JASON BURTON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 1, 2006. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: THOMAS R STALEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 11, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: THOMAS R STALEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 11, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: ROBIN TIPPITT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: CINDY LEE SIMONET (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 29, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • August 1, 2025: CINDY LEE SIMONET (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since April 29, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
  • April 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • July 29, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • July 28, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • August 10, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • July 15, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • May 21, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • May 6, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • May 22, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • May 24, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • May 31, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • June 22, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • May 27, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • February 25, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • September 25, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
  • June 27, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • June 23, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • June 29, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • July 23, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • May 8, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • May 17, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
  • May 31, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
  • July 1, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1May 23, 2025May 23, 202572
2May 31, 2024May 31, 2024511
3April 7, 2023April 7, 202352

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

Deficiencies cited

17 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
May 23, 2025HealthF 0578Resident Rights DeficienciesHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.DNoDeficient, Provider has date of correctionJune 18, 2025
May 23, 2025HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.ENoDeficient, Provider has date of correctionJune 18, 2025
May 23, 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.ENoDeficient, Provider has date of correctionJune 18, 2025
May 23, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionJune 18, 2025
May 23, 2025HealthF 0732Nursing and Physician Services DeficienciesPost nurse staffing information every day.CNoDeficient, Provider has date of correctionJune 18, 2025
May 23, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionJune 18, 2025
May 23, 2025HealthF 0837Administration DeficienciesEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.FNoDeficient, Provider has date of correctionJune 18, 2025
June 24, 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correctionJuly 9, 2024
May 31, 2024HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.GNoDeficient, Provider has date of correctionJune 20, 2024
May 31, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionJune 20, 2024
May 31, 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correctionJune 20, 2024
May 31, 2024HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.FNoDeficient, Provider has date of correctionJune 20, 2024
May 31, 2024HealthF 0919Environmental DeficienciesMake sure that a working call system is available in each resident's bathroom and bathing area.FNoDeficient, Provider has date of correctionJune 20, 2024
April 23, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionMay 2, 2024
February 7, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correctionFebruary 27, 2024
November 15, 2023HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.EYesDeficient, Provider has date of correctionDecember 4, 2023
April 7, 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionApril 19, 2023

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

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - City/county
Legal Business NameHILLCREST HOME
Date First Approved to Provide Medicare and Medicaid Services1998-02-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishHenry
Telephone Number3099442147
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds99
Average Number of Residents per Day50.6
Overall Rating4
Health Inspection Rating4
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating4
Processing Date2026-09-01

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

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