Skilled nursing facility · CMS certification number 146025
CLINTON MANOR LIVING CENTER
NEW BADEN, Illinois · Medicare and Medicaid
Certified beds, as filed in Care Compare: 37
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,719,619 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $15,719,619 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,715,028 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,004,591 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $296,348 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,300,939 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,300,939 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 32,940 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,560 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,373 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,499 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 26,432 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 7 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 13 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 31 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 141.82 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 852.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433480, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,055,108 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $14,055,108 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,949,829 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $105,279 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $197,348 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $302,627 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $302,505 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,048 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 394.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393416, 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 September 9, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,075,133 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $13,075,133 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,692,808 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $382,325 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $120,016 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $502,341 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $501,166 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,546 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 155 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 177.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364098, 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 September 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,965,709 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $11,965,709 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,665,483 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $300,226 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $179,647 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $479,873 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $479,873 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,578 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 179.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333558, 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 November 24, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,341,353 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $12,341,353 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $11,601,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $739,386 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $232,179 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $971,565 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $971,565 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,063 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 264.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305330, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 6, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,287,573 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $10,287,573 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,866,166 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $421,407 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $269,545 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $690,952 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $690,952 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,944 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 578.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1262523, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 10, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,828,651 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,828,651 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,776,634 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $52,017 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $256,626 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $308,643 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $308,643 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,660 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 329.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236245, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,378,949 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $8,378,949 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,945,412 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $433,537 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $245,388 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $678,925 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $678,925 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,023 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 285.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1199656, 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 July 19, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,560,706 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $6,560,706 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,444,849 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $115,857 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $243,729 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $359,586 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $359,586 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,125 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 73 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 426.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169942, 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 July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,825,055 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $7,825,055 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,417,762 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,407,293 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $264,087 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,671,380 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,671,378 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,359 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 330.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1134231, 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 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,106,397 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,106,397 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,290,819 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$184,422 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $285,792 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $101,370 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $101,370 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,718 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 95 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 333.87 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103938, 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 | $5,036,712 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $5,036,712 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,210,136 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$173,424 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $284,005 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $110,581 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $110,581 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,597 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 114 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 277.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071612, 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 July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,947,038 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,947,038 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,045,307 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$98,269 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $261,088 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $162,819 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $162,819 (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 | 90 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,920 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 146 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 218.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042075, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 25, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,545,786 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $4,545,786 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,734,187 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$188,401 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $255,139 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $66,738 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $66,738 (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 | 35 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,966 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 183.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1011716, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 8, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,299,474 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,476,041 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$176,567 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $265,430 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $88,863 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,929 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 29 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 117.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,595.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,032.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 414871, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 12, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,372,503 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,647,315 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$274,812 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $280,929 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $56 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $6,061 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,327 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 213 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 199.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 137.69 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392274, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,507,124 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,648,003 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$140,879 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $264,068 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $95 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $123,094 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,051 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 19.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 593.51 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 222.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 349280, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 25, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,261,077 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,251,809 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $9,268 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $190,307 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $199,575 (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 | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,274 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 244 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 136.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 321270, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on January 24, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,773,318 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,942,095 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$168,777 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $196,805 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $191 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $27,837 (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 | 83 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,288 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 245 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 127.55 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 115.46 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 300631, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 8, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,768,949 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,842,049 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$73,100 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $182,997 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $109,897 (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 | 83 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,892 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 271 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 21.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 123.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 106.61 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 260719, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on June 27, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,666,537 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,749,200 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$82,663 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $143,634 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $477 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $60,494 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,754 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.36 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 748.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 326.52 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 225627, 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 August 4, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,521,916 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,552,019 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$30,103 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $149,468 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $119,365 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,444 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 230 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 115.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 119.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 189518, 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 October 19, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,229,322 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,310,981 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$81,659 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $188,045 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $106,386 (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 | 81 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,483 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 18 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 3,135.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 1,526.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 197661, read from the public cost report file SNFFY2002.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 |
|---|---|---|---|---|
| ANN C REIS REVOCABLE TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 13% | since 12/15/2016 |
| DAVID L REIS REVOCABLE TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 13% | since 12/15/2016 |
| GREER, GAIL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 13% | since 07/01/2008 |
| GREER, J | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 13% | since 01/01/1988 |
| MICHAEL A. BRAVE REVOCABLE TRUST | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 25% | since 11/08/2006 |
| RICHARD, BLAIN | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Individual | 25% | since 09/13/2011 |
| D.A. REIS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 13% | since 01/01/2005 |
| CENTRAL BANK | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 03/10/2017 |
| ANN C REIS REVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/15/2016 |
| BRAVE INCORPORATED INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/09/2025 |
| BRAVE, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/1988 |
| D.A. REIS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/14/2025 |
| DAVID L REIS REVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/15/2016 |
| FANCHER GAGEN, ERIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/01/2016 |
| FOSTER, EMILY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2023 |
| FREY, ALICIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2017 |
| GERSTNER, SARA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2015 |
| GMS II LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/14/2025 |
| GREER, GAIL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/1988 |
| GREER, J | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/1988 |
| JACKSON, MARA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/11/2003 |
| KERNS, ALEXANDRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/16/2023 |
| KREBS, MYRANDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/02/2022 |
| LAPPE, SAMANTHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/23/2020 |
| LOOMIS, DARLA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2013 |
| MASCHHOFF, HEATHER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2007 |
| MICHAEL A. BRAVE REVOCABLE TRUST | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/08/2006 |
| R.D.R. MANAGEMENT COMPANY, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/14/2025 |
| RICHARD, BLAIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/13/2011 |
| SCHMIDT, ELMER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2019 |
| SCHWARTZ, JANIS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2022 |
| SMITH, BRITTANY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2021 |
| SMITH, CHERYL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2013 |
| SMITH, DANIEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2002 |
| VANDORN, ROBIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2023 |
| WDM COMPUTER SERVICES INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/1988 |
| YOUNG, ARTRAVIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/10/2022 |
| BRAVE, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/1988 |
| GREER, J | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/1988 |
| RICHARD, BLAIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/13/2011 |
| BRAVE, MICHAEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/1988 |
| GREER, J | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/1988 |
| RICHARD, BLAIN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/13/2011 |
| BRAVE, MICHAEL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/1988 |
| GREER, J | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/1988 |
| RICHARD, BLAIN | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/13/2011 |
| SMITH, CHERYL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 02/01/2013 |
| ANN C REIS REVOCABLE TRUST | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/15/2016 |
| BRAVE INCORPORATED INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/1988 |
| BRAVE, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/1988 |
| D.A. REIS LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2005 |
| DAVID L REIS REVOCABLE TRUST | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/15/2016 |
| FANCHER GAGEN, ERIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2016 |
| FOSTER, EMILY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2023 |
| FREY, ALICIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2017 |
| GERSTNER, SARA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2015 |
| GMS II LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/1996 |
| GREER, J | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/1988 |
| JACKSON, MARA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/11/2003 |
| KERNS, ALEXANDRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/16/2023 |
| LAPPE, SAMANTHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/23/2020 |
| LOOMIS, DARLA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2013 |
| R.D.R. MANAGEMENT COMPANY, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/1988 |
| RICHARD, BLAIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/13/2011 |
| SCHMIDT, ELMER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2019 |
| SMITH, BRITTANY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2021 |
| SMITH, CHERYL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2013 |
| SMITH, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2002 |
| VANDORN, ROBIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2023 |
| YOUNG, ARTRAVIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/10/2022 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of SOUTHERN ILLINOIS LIVING CENTERS INC. (enrollment ID O20111109000649).
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 |
|---|---|---|---|---|---|
| ANN C REIS REVOCABLE TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12.5 | 12/15/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| BLAIN R RICHARD | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25 | 9/13/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID L REIS REVOCABLE TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12.5 | 12/15/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| GAIL GREER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12.5 | 7/1/2008 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| J GREER | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 12.5 | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL A. BRAVE REVOCABLE TRUST | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 25 | 11/8/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| D.A. REIS LLC | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 12.5 | 1/1/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| CENTRAL BANK | Organization | 5% OR GREATER MORTGAGE INTEREST | 15 | 3/10/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALEXANDRA KERNS | Individual | ADP OF THE SNF | Not stated in the filing | 8/16/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALICIA FREY | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANN C REIS REVOCABLE TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 12/15/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ARTRAVIA YOUNG | Individual | ADP OF THE SNF | Not stated in the filing | 5/10/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BLAIN R RICHARD | Individual | ADP OF THE SNF | Not stated in the filing | 9/13/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRAVE INCORPORATED INC. | Organization | ADP OF THE SNF | Not stated in the filing | 9/9/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRITTANY SMITH | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHERYL SMITH | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| D.A. REIS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DANIEL SMITH | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2002 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARLA LOOMIS | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID L REIS REVOCABLE TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 12/15/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELMER SCHMIDT | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EMILY FOSTER | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIN ELIZABETH FANCHER GAGEN | Individual | ADP OF THE SNF | Not stated in the filing | 4/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GAIL GREER | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GMS II LLC | Organization | ADP OF THE SNF | Not stated in the filing | 7/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| HEATHER A MASCHHOFF | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| J GREER | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANIS SCHWARTZ | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARA JACKSON | Individual | ADP OF THE SNF | Not stated in the filing | 6/11/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL A. BRAVE REVOCABLE TRUST | Organization | ADP OF THE SNF | Not stated in the filing | 11/8/2006 | Private equity company: No Real estate investment trust: No Holding company: No |
| MICHAEL BRAVE | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MYRANDA L KREBS | Individual | ADP OF THE SNF | Not stated in the filing | 5/2/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| R.D.R. MANAGEMENT COMPANY, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 7/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROBIN L VANDORN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAMANTHA LAPPE | Individual | ADP OF THE SNF | Not stated in the filing | 1/23/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SARA GERSTNER | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WDM COMPUTER SERVICES INC. | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/1988 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 2/12/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 9/17/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 7/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 8/12/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 5/7/2014 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 2/12/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 11/30/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 7/18/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 8/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/22/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 6/30/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 11/12/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 11/8/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 7/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/15/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 12/15/1994 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 3/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 9/9/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2001 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 1/4/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 3/10/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 11/20/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 10/5/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 7/14/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 9/19/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 8/25/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | Not stated in the filing | 9/25/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BLAIN R RICHARD | Individual | CORPORATE DIRECTOR | 25 | 9/13/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| J GREER | Individual | CORPORATE DIRECTOR | 25 | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL BRAVE | Individual | CORPORATE DIRECTOR | 25 | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BLAIN R RICHARD | Individual | CORPORATE OFFICER | 25 | 9/13/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| J GREER | Individual | CORPORATE OFFICER | 25 | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL BRAVE | Individual | CORPORATE OFFICER | 25 | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BLAIN R RICHARD | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/13/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHERYL SMITH | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 2/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| J GREER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL BRAVE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALEXANDRA KERNS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/16/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALICIA FREY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANN C REIS REVOCABLE TRUST | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/15/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ARTRAVIA YOUNG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/10/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BLAIN R RICHARD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/13/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRAVE INCORPORATED INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/1988 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRITTANY SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CHERYL SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| D.A. REIS LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2005 | Private equity company: No Real estate investment trust: No Holding company: No |
| DANIEL SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2002 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DARLA LOOMIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID L REIS REVOCABLE TRUST | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/15/2016 | Private equity company: No Real estate investment trust: No Holding company: No |
| ELMER SCHMIDT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EMILY FOSTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIN ELIZABETH FANCHER GAGEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GMS II LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/1996 | Private equity company: No Real estate investment trust: No Holding company: No |
| J GREER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARA JACKSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/11/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL BRAVE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/1988 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| R.D.R. MANAGEMENT COMPANY, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/1988 | Private equity company: No Real estate investment trust: No Holding company: No |
| ROBIN L VANDORN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SAMANTHA LAPPE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/23/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SARA GERSTNER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- November 1, 2025: ANN C REIS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL BRAVE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL BRAVE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID L REIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID L REIS REVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID L REIS REVOCABLE TRUST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID L REIS REVOCABLE TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DARLA LOOMIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DARLA LOOMIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARA JACKSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 11, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARA JACKSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 11, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRITTANY SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRITTANY SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHERYL SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHERYL SMITH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHERYL SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DANIEL SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2002. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DANIEL SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2002. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ANN C REIS REVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ANN C REIS REVOCABLE TRUST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ANN C REIS REVOCABLE TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERIN ELIZABETH FANCHER GAGEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERIN ELIZABETH FANCHER GAGEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ALICIA FREY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ALICIA FREY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ELMER SCHMIDT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ELMER SCHMIDT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WDM COMPUTER SERVICES INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL BRAVE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL BRAVE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL BRAVE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL BRAVE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: R.D.R. MANAGEMENT COMPANY, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: R.D.R. MANAGEMENT COMPANY, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SAMANTHA LAPPE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SAMANTHA LAPPE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: J GREER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: J GREER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: J GREER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: J GREER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GMS II LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GMS II LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1996. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROBIN L VANDORN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROBIN L VANDORN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: GAIL GREER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SARA GERSTNER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SARA GERSTNER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MYRANDA L KREBS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 2, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRAVE INCORPORATED INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRAVE INCORPORATED INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HEATHER A MASCHHOFF (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2007. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ARTRAVIA YOUNG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ARTRAVIA YOUNG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 10, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL A. BRAVE REVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since November 8, 2006. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL A. BRAVE REVOCABLE TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since November 8, 2006. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANIS SCHWARTZ (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: EMILY FOSTER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: EMILY FOSTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: D.A. REIS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: D.A. REIS LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: D.A. REIS LLC (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2005. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CENTRAL BANK (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since March 10, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BLAIN R RICHARD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 13, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BLAIN R RICHARD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 13, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BLAIN R RICHARD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 13, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BLAIN R RICHARD (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 13, 2011. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 1994. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ALEXANDRA KERNS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ALEXANDRA KERNS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 16, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Recent changes on this record
- November 1, 2025: ANN C REIS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL BRAVE no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL BRAVE no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID L REIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID L REIS REVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID L REIS REVOCABLE TRUST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DAVID L REIS REVOCABLE TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DARLA LOOMIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DARLA LOOMIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARA JACKSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 11, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARA JACKSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 11, 2003. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRITTANY SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: BRITTANY SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHERYL SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHERYL SMITH (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CHERYL SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since February 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DANIEL SMITH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2002. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DANIEL SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 1, 2002. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ANN C REIS REVOCABLE TRUST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ANN C REIS REVOCABLE TRUST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ANN C REIS REVOCABLE TRUST (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 15, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERIN ELIZABETH FANCHER GAGEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ERIN ELIZABETH FANCHER GAGEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ALICIA FREY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ALICIA FREY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ELMER SCHMIDT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ELMER SCHMIDT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WDM COMPUTER SERVICES INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL BRAVE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL BRAVE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL BRAVE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MICHAEL BRAVE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: R.D.R. MANAGEMENT COMPANY, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since July 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: R.D.R. MANAGEMENT COMPANY, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SAMANTHA LAPPE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: SAMANTHA LAPPE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: J GREER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: J GREER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: J GREER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: J GREER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 1988. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 12, 2026 | March 12, 2026 | 0 | 0 |
| 2 | September 5, 2024 | September 5, 2024 | 0 | 0 |
| 3 | August 11, 2023 | August 11, 2023 | 7 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
7 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| December 5, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | December 22, 2023 |
| August 11, 2023 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | No | Deficient, Provider has date of correction | September 8, 2023 |
| August 11, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | No | Deficient, Provider has date of correction | September 8, 2023 |
| August 11, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | G | No | Deficient, Provider has date of correction | September 8, 2023 |
| August 11, 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. | F | No | Deficient, Provider has date of correction | September 8, 2023 |
| August 11, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | F | No | Deficient, Provider has date of correction | September 8, 2023 |
| August 11, 2023 | Health | F 0881 | Infection Control Deficiencies | Implement a program that monitors antibiotic use. | E | No | Deficient, Provider has date of correction | September 8, 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
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | SOUTHERN ILLINOIS LIVING CENTERS INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 2002-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Clinton |
| Telephone Number | 6185884924 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 37 |
| Average Number of Residents per Day | 21.9 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on CLINTON MANOR LIVING CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On November 1, 2025: ANN C REIS no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for CLINTON MANOR LIVING CENTER
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 Illinois 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 146025.