Skilled nursing facility · CMS certification number 155118
WATERS OF LAGRANGE SKILLED NURSING FACILITY, THE
LAGRANGE, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 100
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: 1 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 1. The most recent penalty on file: September 4, 2024, Payment Denial. 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 November 27, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,560,525 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $364,993 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,195,532 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,488,356 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,707,176 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $61,828 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,769,004 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,769,004 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 36,600 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,005 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 19,639 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,286 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 28,930 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 18 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 2 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 20 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.83 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 9,819.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 723.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1443138, 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 September 10, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,491,112 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $288,914 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,202,198 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,632,669 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,569,529 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$1,479 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,568,050 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,568,050 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,024 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 113 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 455.24 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 239.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1394354, 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 21, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,874,672 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$24,674 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,899,346 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,658,549 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$759,203 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,499 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$744,704 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$744,704 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,272 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 277.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.39 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365160, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 17, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,354,688 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$20,509 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,375,197 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,986,469 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$611,272 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $278,649 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$332,623 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$332,623 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,782 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,238.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 292.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1335124, 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 October 29, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,572,734 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $253,161 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,319,573 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,509,692 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$190,119 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $559,724 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $369,605 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $369,605 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,943 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 112 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 996.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 231.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303423, 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 December 8, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,559,588 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $345,275 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,214,313 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,175,890 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $38,423 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,397 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $94,820 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $94,820 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,268 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,043.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 217.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1275257, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 5, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,720,428 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $394,516 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,325,912 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,846,621 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $479,291 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,842 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $511,133 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $511,133 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,730 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 817.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 215.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239501, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 22, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,952,207 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $394,147 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,558,060 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,512,396 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $45,664 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $29,385 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $75,049 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $75,049 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,801 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 913.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 192.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209984, 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 August 3, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,900,590 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $400,198 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,500,392 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,148,373 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $352,019 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $24,853 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $376,872 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $376,872 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,729 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 125 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 714.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 229.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171737, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,803,846 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $288,297 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,515,549 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,116,996 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $398,553 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $48,265 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $446,818 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $446,818 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,057 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 134 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 489.28 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 216.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139106, 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 August 10, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,842,464 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $240,703 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,601,761 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,929,308 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $672,453 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $48,781 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $721,234 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $721,234 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,612 | 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 | 52.19 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 585.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 279.36 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1107124, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for March 1, 2013 to December 31, 2013 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on August 14, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,660,760 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $196,160 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,464,600 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,514,819 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $949,781 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,716 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $977,497 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $977,497 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,266 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 814.9 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 309.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1075920, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,062,098 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $106,208 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,955,890 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,330,485 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $625,405 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $49,807 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $675,212 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $675,212 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,520 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 96.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 749.59 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 345.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1027422, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $68,618 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Net income from service to patients | $68,618 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,114 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $109,732 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,879 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 78.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 954.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 332.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434440, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,957,319 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,857,933 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $99,386 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,063 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $153,449 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,651 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 903.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 340.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423064, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 7, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,761,414 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,728,997 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $32,417 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,875 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $87,292 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,076 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.39 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,199.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 393.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 390496, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 13, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,416,239 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,417,234 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$995 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,032 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $52,037 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,370 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,087.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 373.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 357545, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 4, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,713,156 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,475,326 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $237,830 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $62,789 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $300,619 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,510 | 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 | 63.34 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,295.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 382.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333161, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 5, 2007.
None of these figures is carried on this report.
CMS report record 297608, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2006.
None of these figures is carried on this report.
CMS report record 265163, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 27, 2005.
None of these figures is carried on this report.
CMS report record 235636, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 17, 2005.
None of these figures is carried on this report.
CMS report record 234347, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended September 30, 2002
Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 29, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,789,084 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,317,313 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$528,229 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,668 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$473,561 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,807 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 63.84 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 822.32 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 297.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 162330, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended September 30, 2001
Cost report for January 1, 2001 to September 30, 2001 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
None of these figures is carried on this report.
CMS report record 125403, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 8, 2001.
Net income: −$151,251 (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.
CMS report record 12322, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 30, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,603,812 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,163,728 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$559,916 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,748 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$506,168 (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 | 165 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,705 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 86 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 380.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 12321, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on September 2, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,629,263 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,735,732 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$106,469 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $73,129 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $376 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$33,716 (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 | 173 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,014 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.32 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 330.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 158246, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on August 6, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,814,814 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,767,423 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $47,391 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $50,837 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1,081 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $99,309 (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 | 169 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,300 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 46 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 255.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 897.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 156156, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on July 3, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,149,833 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,392,800 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$242,967 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,584 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1,482 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$199,901 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,637 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 118 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 352.86 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 150667, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| JOHNSON MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 03/01/2013 |
| LENON, ISAAC | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 12/16/2021 |
| THOMAS, MYRAN | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 07/07/2022 |
| BERKHOUSE, STEVEN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/18/2021 |
| DUNKLE, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/01/2019 |
| BERKHOUSE, STEVEN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 10/18/2021 |
| DUNKLE, DAVID | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/01/2019 |
| DUNKLE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/01/2019 |
| MILLER'S HEALTH SYSTEMS INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 03/01/2013 |
| THE WATERS OF LAGRANGE SKILLED NURSING FACILITY LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2022 |
| DECOLA, ROBERT | W-2 MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 02/16/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of JOHNSON MEMORIAL HOSPITAL (enrollment ID O20130422000050).
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 |
|---|---|---|---|---|---|
| JOHNSON MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 3/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| ISAAC LENON | Individual | CONTRACTED MANAGING EMPLOYEE | Not stated in the filing | 12/16/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MYRAN THOMAS | Individual | CONTRACTED MANAGING EMPLOYEE | 100 | 7/7/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID H DUNKLE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID H DUNKLE | Individual | CORPORATE OFFICER | Not stated in the filing | 6/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN BERKHOUSE | Individual | DIRECTOR | Not stated in the filing | 10/18/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN BERKHOUSE | Individual | OFFICER | Not stated in the filing | 10/18/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID H DUNKLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MILLER'S HEALTH SYSTEMS INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| THE WATERS OF LAGRANGE SKILLED NURSING FACILITY LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 11/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| PATRICK H BOYLE | Individual | OTHER | Not stated in the filing | 5/30/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT J DECOLA | Individual | W-2 MANAGING EMPLOYEE | Not stated in the filing | 2/16/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- January 1, 2023: MYRAN THOMAS (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since July 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: THE WATERS OF LAGRANGE SKILLED NURSING FACILITY LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- November 27, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 10, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 21, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- January 1, 2023: MYRAN THOMAS (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since July 7, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: THE WATERS OF LAGRANGE SKILLED NURSING FACILITY LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- October 17, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- October 29, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 8, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 5, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 22, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 3, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 1, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- August 10, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 14, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 5, 2013: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- April 19, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- April 19, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- January 18, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- December 7, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- October 13, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- February 4, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- December 5, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- October 26, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- October 27, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- October 17, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- October 29, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- September 2, 2003: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- August 6, 2003: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- July 3, 2003: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
- February 13, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- November 8, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- May 30, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 10, 2025 | September 10, 2025 | 4 | 3 |
| 2 | October 1, 2024 | October 1, 2024 | 18 | 10 |
| 3 | December 1, 2023 | December 1, 2023 | 13 | 11 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
36 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 30, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | May 1, 2026 |
| September 10, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | October 3, 2025 |
| September 10, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | October 3, 2025 |
| September 10, 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | October 3, 2025 |
| February 3, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | January 22, 2025 |
| February 3, 2025 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | E | Yes | Past Non-Compliance | January 22, 2025 |
| October 1, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | No | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0699 | Quality of Life and Care Deficiencies | Provide care or services that was trauma informed and/or culturally competent. | D | No | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| October 1, 2024 | Health | F 0867 | Administration Deficiencies | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Yes | Deficient, Provider has date of correction | October 11, 2024 |
| September 4, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Yes | Deficient, Provider has date of correction | September 30, 2024 |
| September 4, 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | Yes | Deficient, Provider has date of correction | September 30, 2024 |
| July 18, 2024 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | E | Yes | Deficient, Provider has date of correction | August 10, 2024 |
| July 18, 2024 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Yes | Deficient, Provider has date of correction | August 10, 2024 |
| April 2, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Deficient, Provider has date of correction | April 22, 2024 |
| April 2, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | April 22, 2024 |
| April 2, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | April 22, 2024 |
| December 1, 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 | January 8, 2024 |
| December 1, 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 | January 8, 2024 |
| December 1, 2023 | Health | F 0676 | Quality of Life and Care Deficiencies | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | No | Deficient, Provider has date of correction | January 8, 2024 |
| December 1, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | January 8, 2024 |
| December 1, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | January 8, 2024 |
| December 1, 2023 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Yes | Deficient, Provider has date of correction | January 8, 2024 |
| December 1, 2023 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | January 8, 2024 |
| December 1, 2023 | Health | F 0745 | Quality of Life and Care Deficiencies | Provide medically-related social services to help each resident achieve the highest possible quality of life. | D | No | Deficient, Provider has date of correction | January 8, 2024 |
| August 16, 2023 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Yes | Deficient, Provider has date of correction | September 1, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| September 4, 2024 | Payment Denial | October 1, 2024 | 10 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | JOHNSON MEMORIAL HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1970-08-11 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Lagrange |
| Telephone Number | 2604632172 |
| Chain Name | INFINITY HEALTHCARE CONSULTING |
| Chain ID | 763 |
| 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 | 100 |
| Average Number of Residents per Day | 83.5 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On November 27, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for WATERS OF LAGRANGE SKILLED NURSING FACILITY, THE
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 Indiana 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 155118.