Skilled nursing facility · CMS certification number 155231
RANDOLPH NURSING HOME
WINCHESTER, Indiana
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.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026. Its Medicare enrollment, PUTNAM COUNTY HOSPITAL (enrollment ID O20200818000311), is not listed in the CMS enrollment file dated August 1, 2026.
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 17, 2024 — a reporting period of 351 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,802,986 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $27,925 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,775,061 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,224,495 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$449,434 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,857,341 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,407,907 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,407,907 (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 | 82 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 28,864 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 754 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 2,535 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 690 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 3,979 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 20 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 37 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 68 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 68.51 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433549, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 9, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,032,613 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$159,857 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,192,470 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,857,112 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $335,358 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,542 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $351,900 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $351,900 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,026 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 77.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 317.49 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391694, 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 12, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,344,224 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$701,748 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,045,972 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,641,404 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,404,568 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $75,730 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,480,298 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,480,298 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,881 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 103 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,133.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 282.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1364495, 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 July 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,244,128 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $83,331 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,160,797 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,395,992 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$235,195 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $59,031 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$176,164 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$176,164 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,508 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 120.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 465.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 261.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1327118, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for July 1, 2020 to December 31, 2020 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on January 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,480,554 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$236,223 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,716,777 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,349,995 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,366,782 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$1,196 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,365,586 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,365,586 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,327 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 99.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 257.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309403, 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 April 27, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,792,520 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $118,141 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,674,379 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,019,312 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $655,067 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,273 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $666,340 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $666,340 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,896 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 54 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 86.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,516.08 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 479.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282941, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,994,279 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $231,227 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,763,052 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,059,733 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $703,319 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,663 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $712,982 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $712,982 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,621 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 157 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 256.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 182.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238043, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 31, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,838,923 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $546,233 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,292,690 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,583,287 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $709,403 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,532 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $710,935 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $710,935 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,411 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 173 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 78.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 237.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 158.45 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203799, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,956,831 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $800,306 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,156,525 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,411,658 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $744,867 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,113 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $748,980 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $748,980 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,296 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.56 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 208.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171108, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for June 1, 2015 to December 31, 2015 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,488,675 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $392,429 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,096,246 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,684,608 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $411,638 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,632 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $415,270 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $415,270 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,702 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 162 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 68.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 96.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1137407, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 26, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,747,684 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,168,377 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,579,307 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,059,854 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $519,453 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,119 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $529,572 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $529,572 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,627 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 225 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 282.91 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084997, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 3, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,115,266 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $903,199 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,212,067 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,244,697 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$32,630 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,024 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$21,606 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$21,606 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,618 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 248 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 215.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055088, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on September 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,137,422 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $622,050 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,515,372 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,112,042 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $403,330 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,855 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $415,185 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $415,185 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,601 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 238 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.32 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.14 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 111.77 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1048435, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 6, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,616,709 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,885,835 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $730,874 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,530 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $735,404 (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 | 94 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,288 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 111 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.96 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 528.89 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 245.84 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433883, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 21, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,170,698 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,444,916 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$274,218 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $249 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$273,969 (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 | 94 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,917 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 571.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 240.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418932, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 9, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,489,261 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,381,847 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $107,414 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $15,975 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $123,389 (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 | 94 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,363 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 479.65 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 174.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387189, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2009.
None of these figures is carried on this report.
CMS report record 356188, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 18, 2008.
None of these figures is carried on this report.
CMS report record 325952, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 15, 2007.
None of these figures is carried on this report.
CMS report record 291931, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 3, 2006.
None of these figures is carried on this report.
CMS report record 260371, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 28, 2005.
None of these figures is carried on this report.
CMS report record 235660, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 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 233186, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 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 142940, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2003.
Net income: $32,085 (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 114625, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 26, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,281,515 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,260,399 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $21,116 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$301,110 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$279,994 (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 | 94 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,372 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 71.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 411.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 12806, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on June 15, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,047,787 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,316,422 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$268,635 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,552 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$243,083 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 94 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,043 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.12 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 975.67 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 350.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 12805, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on April 19, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,653,075 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,344,020 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $309,055 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $309,055 (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 | 94 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,637 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 357.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 12802, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for July 1, 1996 to June 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on September 5, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,958,149 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,051,629 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$93,480 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,139 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $53 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$68,394 (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 | 94 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,932 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 408.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 12800, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended June 30, 1996
Cost report for July 1, 1995 to June 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 27, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,010,797 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,993,802 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $16,995 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $26,042 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$12,301 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $55,338 (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 | 94 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,049 | 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 | 42.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 355.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 12798, read from the public cost report file SNFFY1995.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
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
- February 1, 2025: KATRINA ANN LEWIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DENNIS A WEATHERFORD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ROBERT N MANN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: HOOSIER CARE II INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JANICE M FRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ARNOLD D BRAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KEITH P LANDRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DENNIS D O'HAIR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MARILYN J ALBERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: PUTNAM COUNTY HOSPITAL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MATTHEW L HEADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- March 15, 2023: KATRINA ANN LEWIS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since December 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- January 1, 2023: KEITH M ERNST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.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
- February 1, 2025: KATRINA ANN LEWIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DENNIS A WEATHERFORD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ROBERT N MANN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: HOOSIER CARE II INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JANICE M FRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ARNOLD D BRAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KEITH P LANDRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DENNIS D O'HAIR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MARILYN J ALBERSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: PUTNAM COUNTY HOSPITAL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MATTHEW L HEADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- August 9, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 12, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- March 15, 2023: KATRINA ANN LEWIS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since December 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- January 1, 2023: KEITH M ERNST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- July 22, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- January 26, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 27, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- February 1, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- July 24, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- July 31, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 28, 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
- January 20, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- January 26, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- February 3, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- September 23, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- December 6, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- October 21, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- September 9, 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- September 8, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- September 18, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- August 15, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- August 3, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- October 28, 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2003.zip
- September 16, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2002.zip
- May 7, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2001.zip
- February 11, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2000.zip
- February 26, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY1999.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
Get an email when this record changes
One email a day naming what moved on RANDOLPH NURSING HOME: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for RANDOLPH NURSING HOME
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.
Other public records in Indiana
- PEABODY MIDWEST MINING LLC VIKING MINE KNOX PIT, BICKNELL Water discharge permit
- CONSERVANCY RESOURCES LLC HAWTHORN MINE, CARLISLE Water discharge permit
- PEABODY MIDWEST MINING LLC SOMERVILLE NORTH MINE, OAKLAND CITY Water discharge permit
- RESPONSIBLE ENERGY OPERATIONS, LLC CARBONDALE PREP PLANT, PETERSBURG Water discharge permit
- RESPONSIBLE ENERGY OPERATIONS LLC PRIDES CREEK MINE, PETERSBURG Water discharge permit
- SOLAR SOURCES INC CANNELBURG MINE, CANNELBURG Water discharge permit
- TRIAD MINING LLC FREELANDVILLE MINE, EDWARDSPORT Water discharge permit
- ALCOA FUELS INC ALCOA WARRICK POWER PLANT SQUAW CREEK NORTH MINE, BOONVILLE Water discharge permit
- RIETH RILEY CONSTRUCTION COMPANY INCORPORATED, TIPTON Air emission source
- LAP WOOD PRODUCTS, MONTEREY Air emission source
- CALCAR QUARRY, PAOLI Air emission source
- E & B PAVING, LLC, NOBLESVILLE Air emission source
- JENSTAR ASPHALT LLC, GARY Air emission source
- DAVIESS COUNTY MUNICIPAL HIGHWAY DEPARTMENT, MONTGOMERY Air emission source
- RIETH-RILEY CONSTRUCTION COMPANY INCORPORATED, FREMONT Air emission source
- JH RUDOLPH & COMPANY INCORPORATED PETERSBURG, DALE Air emission source
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 155231.