Skilled nursing facility · CMS certification number 155211
WATERS OF LEBANON, THE
LEBANON, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 64
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 | $6,548,231 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $412,952 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,135,279 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,525,765 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,609,514 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,071 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,611,585 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,611,585 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 23,424 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 398 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 11,658 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,531 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 15,587 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 2 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 6 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 12 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 99.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 5,829 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 1,298.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433544, 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 November 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,838,587 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $455,829 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,382,758 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,112,905 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $269,853 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,072 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $277,925 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $277,925 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,171 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 93.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 238.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 164.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1399109, 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 August 22, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,327,377 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $541,898 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,785,479 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,160,017 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $625,462 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $78,063 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $703,525 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $703,525 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,675 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 110.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 182.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362766, 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 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,172,664 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $688,981 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,483,683 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,097,106 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $386,577 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $153,206 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $539,783 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $539,783 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,993 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 140 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 91.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 107.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334354, 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 July 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,228,638 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $656,970 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,571,668 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,180,089 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,391,579 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $537,840 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,929,419 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,929,419 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,101 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 96.77 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 172.96 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327579, 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 July 17, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,847,403 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,988 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,845,415 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,396,572 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $448,843 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $851 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $449,694 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $449,694 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,839 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 137.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1259505, 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 6, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,641,030 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $167,372 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,473,658 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,864,090 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $609,568 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $125 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $609,693 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $609,693 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,663 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 3,162 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 349.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1239685, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for July 15, 2017 to December 31, 2017 — a reporting period of 169 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 1, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,343,183 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $48,507 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,294,676 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,278,682 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $15,994 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $15,994 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $15,994 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,934 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 15 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 328.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1204097, 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 June 16, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,482,435 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $28,264 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,454,171 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,228,126 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$773,955 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,374 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$767,581 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$767,581 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,278 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 52 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 178.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1162927, 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 | $2,799,395 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $21,213 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,778,182 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,040,980 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$262,798 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,851 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$254,947 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$254,947 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,819 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 33 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 327.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1135245, 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 | $3,306,753 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $307,853 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,998,900 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,098,602 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$99,702 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,613 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$93,089 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$93,089 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,509 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 284.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105356, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for August 1, 2013 to December 31, 2013 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 6, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,608,250 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $187,480 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,420,770 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,574,292 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$153,522 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,130 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$151,392 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$151,392 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 6,512 | CMS-2540-10 worksheet S300001 line 800 column 700 |
CMS report record 1062603, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for May 1, 2012 to December 31, 2012 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,746,051 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $144,800 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,601,251 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,789,103 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$187,852 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,407 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$180,445 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$180,445 (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 | 64 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,476 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 236.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1042763, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended April 30, 2011
Cost report for May 1, 2010 to April 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 20, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,949,809 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,086,005 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$136,196 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,106 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$128,090 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,135 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 36 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 108.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 475.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432295, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended April 30, 2010
Cost report for May 1, 2009 to April 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 27, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,413,238 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,202,659 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $210,579 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,763 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $222,342 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,889 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 77.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 397.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418411, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended April 30, 2009
Cost report for May 1, 2008 to April 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 17, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,280,740 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,069,453 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $211,287 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,298 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $215,585 (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 | 64 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,006 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 271.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 375654, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended April 30, 2008
Cost report for May 1, 2007 to April 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 22, 2009.
None of these figures is carried on this report.
CMS report record 351913, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended April 30, 2007
Cost report for May 1, 2006 to April 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 28, 2008.
None of these figures is carried on this report.
CMS report record 325221, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended April 30, 2006
Cost report for May 1, 2005 to April 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 15, 2007.
None of these figures is carried on this report.
CMS report record 274905, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended April 30, 2005
Cost report for May 1, 2004 to April 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 16, 2006.
None of these figures is carried on this report.
CMS report record 243090, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended April 30, 2004
Cost report for May 1, 2003 to April 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 16, 2005.
None of these figures is carried on this report.
CMS report record 233185, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended April 30, 2003
Cost report for May 1, 2002 to April 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 26, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,516,249 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,883,290 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$367,041 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,024 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$365,017 (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 | 68 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,950 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 23 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 94.6 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 693.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169579, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended April 30, 2002
Cost report for May 1, 2001 to April 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 7, 2003.
None of these figures is carried on this report.
CMS report record 142936, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended April 30, 2001
Cost report for May 1, 2000 to April 30, 2001 — a reporting period of 364 days, 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 131087, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended April 30, 2000
Cost report for December 1, 1999 to April 30, 2000 — a reporting period of 151 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 131222, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended November 30, 1999
Cost report for January 1, 1999 to November 30, 1999 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on July 26, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,371,174 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,442,109 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$70,935 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $30,093 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$40,842 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 21,709 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 68 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.24 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 944.82 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 319.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3792, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 19, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,611,983 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,843,286 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$231,303 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,740 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$202,563 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,123 | 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 | 33.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 757.63 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 303.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3790, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for February 1, 1997 to December 31, 1997 — a reporting period of 333 days, on form CMS-2540-96, settled with audit, processed by CMS on August 26, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,062,200 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,657,265 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,404,935 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $33,908 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,438,843 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,447 | 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 | 39.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,208.06 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 316.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3788, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| JONES, DONNA | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 12/27/2022 |
| ENGELS, ERIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/15/2017 |
| GENTRY, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/12/2022 |
| STARKEY, TYLER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/01/2020 |
| WAITE, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/01/2020 |
| WHICKER, TIMOTHY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/12/2022 |
| FENOUGHTY, DEANNA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/10/2023 |
| THE WATERS OF LEBANON LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/15/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HENDRICKS COUNTY HOSPITAL (enrollment ID O20171009003340).
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 |
|---|---|---|---|---|---|
| HENDRICKS COUNTY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/15/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| DONNA L JONES | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 12/27/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ERIN M ENGELS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/15/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN WAITE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK EDWARD GENTRY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/12/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIMOTHY A WHICKER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/12/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TYLER STARKEY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEANNA M FENOUGHTY | Individual | CORPORATE OFFICER | 0 | 7/10/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE WATERS OF LEBANON LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/15/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- January 5, 2024: YVONNE CULPEPPER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- October 2, 2023: DEANNA M FENOUGHTY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since July 10, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- August 1, 2023: STEPHANIE J BLEVINS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: KEVIN P SPEER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: KEVIN P SPEER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: YVONNE CULPEPPER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since March 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: DONNA L JONES (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since December 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- February 15, 2023: KAREN S HAYDEN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: KELLI A WAGGONER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TERRY K DILLON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MICHAEL B EDMUNDSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: GORDON D REED no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JUDIE C GOVE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TYLER STARKEY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since August 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MARK EDWARD GENTRY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since January 12, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JOHN WAITE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since August 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: STEPHANIE J BLEVINS (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since March 28, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TIMOTHY A WHICKER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since January 12, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- November 19, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- January 5, 2024: YVONNE CULPEPPER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-01-05.csv
- October 2, 2023: DEANNA M FENOUGHTY (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 2, 2023; associated with this enrollment since July 10, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- August 22, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 1, 2023: STEPHANIE J BLEVINS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: KEVIN P SPEER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: KEVIN P SPEER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: YVONNE CULPEPPER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since March 27, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: DONNA L JONES (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since December 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- February 15, 2023: KAREN S HAYDEN no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: KELLI A WAGGONER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TERRY K DILLON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MICHAEL B EDMUNDSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: GORDON D REED no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JUDIE C GOVE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TYLER STARKEY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since August 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: MARK EDWARD GENTRY (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since January 12, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JOHN WAITE (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since August 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: STEPHANIE J BLEVINS (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since March 28, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TIMOTHY A WHICKER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since January 12, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- September 28, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- July 22, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- July 17, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 6, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 1, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 30, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- June 16, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- July 25, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 25, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- June 6, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- April 18, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- July 23, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 30, 2012: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- September 20, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- September 27, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- June 17, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- July 22, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- August 28, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- March 15, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | September 11, 2025 | September 11, 2025 | 9 | 2 |
| 2 | September 12, 2024 | September 12, 2024 | 8 | 2 |
| 3 | July 14, 2023 | July 14, 2023 | 14 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
31 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| September 11, 2025 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | F | No | Deficient, Provider has date of correction | October 24, 2025 |
| September 11, 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | No | Deficient, Provider has date of correction | October 24, 2025 |
| September 11, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | October 24, 2025 |
| September 11, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | October 24, 2025 |
| September 11, 2025 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | October 24, 2025 |
| September 11, 2025 | 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 | No | Deficient, Provider has date of correction | October 24, 2025 |
| September 11, 2025 | Health | F 0726 | Nursing and Physician Services Deficiencies | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | D | No | Deficient, Provider has date of correction | October 24, 2025 |
| September 11, 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 24, 2025 |
| September 11, 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 24, 2025 |
| July 31, 2025 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | August 25, 2025 |
| September 12, 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 12, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | October 15, 2024 |
| September 12, 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | Yes | Deficient, Provider has date of correction | October 15, 2024 |
| September 12, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 12, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | Yes | Deficient, Provider has date of correction | October 15, 2024 |
| September 12, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| September 12, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | October 15, 2024 |
| March 7, 2024 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | Yes | Deficient, Provider has date of correction | March 25, 2024 |
| July 14, 2023 | 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 | August 22, 2023 |
| July 14, 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 | August 22, 2023 |
| July 14, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | August 22, 2023 |
| July 14, 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 | August 22, 2023 |
| July 14, 2023 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | No | Deficient, Provider has date of correction | August 22, 2023 |
| July 14, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | August 22, 2023 |
| July 14, 2023 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | August 22, 2023 |
| July 14, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | August 22, 2023 |
| July 14, 2023 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | No | Deficient, Provider has date of correction | August 22, 2023 |
| July 14, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | E | No | Deficient, Provider has date of correction | August 22, 2023 |
| July 14, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | August 22, 2023 |
| July 14, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | August 22, 2023 |
| July 14, 2023 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | F | No | Deficient, Provider has date of correction | August 22, 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 | HENDRICKS COUNTY HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1983-02-22 |
| Provider Resides in Hospital | Y |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Boone |
| Telephone Number | 7654826391 |
| 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 | 64 |
| Average Number of Residents per Day | 42.2 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-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.
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