Skilled nursing facility · CMS certification number 155241
FOREST CREEK VILLAGE
INDIANAPOLIS, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 110
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 October 23, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,915,278 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $679,375 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,235,903 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,629,259 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,606,644 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $104,562 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,711,206 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,711,206 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 46,848 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,007 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 26,196 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,334 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 32,537 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 21 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 166 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 60 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 247 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 157.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 131.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441301, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,841,644 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$436,142 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,277,786 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,363,818 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$86,032 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,136,759 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,050,727 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,050,727 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,741 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 211 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 172.97 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 145.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395483, 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 15, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,527,743 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$101,080 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,628,823 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,316,497 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,687,674 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $16,379 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,671,295 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,671,295 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,213 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 199 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 174.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362191, 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 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,310,026 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $537,149 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,772,877 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,089,600 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,316,723 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $135,883 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,180,840 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,180,840 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,260 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 206 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 186.02 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333988, 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 May 13, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,591,933 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $372,298 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,219,635 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,750,490 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,530,855 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $803,661 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$727,194 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$727,194 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,672 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 293 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 151.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 91.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315966, 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 June 4, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,510,847 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,196,004 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,314,843 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,572,685 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,257,842 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,467 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,251,375 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,251,375 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,161 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 260 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 163.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1285389, 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 12, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,982,221 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,307,885 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,674,336 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,395,962 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$721,626 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$4,609 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$726,235 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$726,235 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,572 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 219 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 214.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240404, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,577,049 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,011,176 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,565,873 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,398,283 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $167,590 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,020 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $178,610 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $178,610 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,821 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 194 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 357.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 205.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207274, 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 31, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,454,998 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,287,269 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,167,729 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,545,933 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $621,796 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,599 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $631,395 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $631,395 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,515 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 359 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 154.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 112.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171292, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,416,799 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,112,927 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,303,872 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,171,977 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,131,895 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,364 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,143,259 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,143,259 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,320 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 250.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139109, 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 June 30, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,797,833 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,370,730 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,427,103 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,097,881 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,329,222 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,463 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,341,685 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,341,685 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 41,655 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 281 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 148.24 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1100981, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 4, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,520,611 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,762,933 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,757,678 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,701,411 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,056,267 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,228 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,068,495 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,068,495 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,762 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 275 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 148.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074866, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 13, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,599,365 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,354,044 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,245,321 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,351,894 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $893,427 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,696 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $921,123 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $921,123 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,088 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 298 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 141.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1050615, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 21, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,294,695 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,153,498 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,141,197 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,396,932 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $744,265 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $27,276 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $771,541 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $771,541 (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 | 128 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,007 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 355 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 121.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029770, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 31, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,266,210 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,051,403 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,214,807 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,792 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,253,599 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,439 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 337 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 128.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429789, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,877,072 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,791,717 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,085,355 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,652 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,127,007 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 44,350 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 357 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 124.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 406400, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,488,362 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,371,324 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,117,038 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $48,027 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,165,065 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 43,843 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 403 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 108.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 363776, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 25, 2009.
None of these figures is carried on this report.
CMS report record 335874, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 14, 2008.
None of these figures is carried on this report.
CMS report record 302242, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 30, 2006.
None of these figures is carried on this report.
CMS report record 267301, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 9, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,933,705 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,566,816 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $366,889 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $51,860 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $418,749 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,723 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 238 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 179.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 244620, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 18, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,563,909 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,109,870 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $454,039 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,639 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $494,678 (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 | 128 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,633 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 245 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 169.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 213428, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 15, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,219,973 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,820,517 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $399,456 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $39,463 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $438,919 (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 | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,550 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 233 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 174.03 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 197011, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 28, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,492,850 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,438,016 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $54,834 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $43,860 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $98,694 (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 | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,407 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 195 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 202.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 155283, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 26, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,482,532 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,468,788 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $13,744 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,747 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $51,491 (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 | 144 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 33,747 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.8 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 212.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 12880, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 30, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,611,241 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,882,748 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$271,507 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,975 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$224,532 (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 | 122 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,958 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 350.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 386.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 12879, 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 May 4, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,007,242 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,276,473 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$269,231 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,789 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$222,442 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,259 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 67 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 145.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 406.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 12877, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for April 1, 1997 to December 31, 1997 — a reporting period of 274 days, not a full year, on form CMS-2540-96, settled, processed by CMS on November 26, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,338,950 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,074,553 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$735,603 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $34,324 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$701,279 (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 | 156 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,476 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 181.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 436.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 12875, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended September 30, 1996
Cost report for October 1, 1995 to September 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 27, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,044,055 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,302,376 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,258,321 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $42,371 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$2,215,950 (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 | 152 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,032 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 46 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 236.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 631.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 12872, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| AMERICAN SENIOR COMMUNITIES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/15/2026 |
| DICE, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2023 |
| PATEL, NEHA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/15/2026 |
| SWEENY, BRENDAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/15/2026 |
| VAN CAMP, STEVEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2023 |
| DRUMMER, CARL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2017 |
| HANIFY, THOMAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2022 |
| HORN, BRENDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2023 |
| LAZARD, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/29/2021 |
| MANTRAVADI, GEETA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/21/2021 |
| PAYNE, MONICA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/09/2021 |
| BABCOCK, PAUL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/30/2020 |
| CAINE, VIRGINIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/10/1994 |
| HARRIS, LISA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/22/2003 |
| AMERICAN SENIOR COMMUNITIES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 01/01/2003 |
| DICE, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2023 |
| PATEL, NEHA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/10/2025 |
| SMITH, DANIELLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| SWEENY, BRENDAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2024 |
| VAN CAMP, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY (enrollment ID O20030321000006).
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 |
|---|---|---|---|---|---|
| THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMERICAN SENIOR COMMUNITIES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/15/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRENDAN K SWEENY | Individual | ADP OF THE SNF | Not stated in the filing | 4/15/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK DICE | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NEHA PATEL | Individual | ADP OF THE SNF | Not stated in the filing | 4/15/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN VAN CAMP | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENDA HORN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARL L DRUMMER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GEETA MANTRAVADI | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/21/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MONICA PAYNE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/9/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT W LAZARD | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/29/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS HANIFY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL T BABCOCK | Individual | CORPORATE OFFICER | Not stated in the filing | 9/30/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VIRGINIA A CAINE | Individual | CORPORATE OFFICER | Not stated in the filing | 1/10/1994 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA E HARRIS | Individual | OFFICER | Not stated in the filing | 12/22/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMERICAN SENIOR COMMUNITIES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2003 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRENDAN K SWEENY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIELLE SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK DICE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NEHA PATEL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/10/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN VAN CAMP | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: MARK E DICE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEVEN A VAN CAMP no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NEHA PATEL no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DANIELLE SMITH no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AMERICAN SENIOR COMMUNITIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 15, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARK DICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARK DICE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DANIELLE SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEVEN VAN CAMP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEVEN VAN CAMP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENDAN K SWEENY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 15, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENDAN K SWEENY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NEHA PATEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 15, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NEHA PATEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- June 3, 2024: LAURA SIMMERMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: DONNA G KELSEY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LAURA BURTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: GREGORY S FEHRIBACH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BEVERLY MUKES-GAITHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BRENDA HORN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MARK E DICE (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: NEHA PATEL (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since March 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: DANIELLE SMITH (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
Recent changes on this record
- July 1, 2026: MARK E DICE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEVEN A VAN CAMP no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NEHA PATEL no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DANIELLE SMITH no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AMERICAN SENIOR COMMUNITIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 15, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARK DICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARK DICE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DANIELLE SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEVEN VAN CAMP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEVEN VAN CAMP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENDAN K SWEENY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 15, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: BRENDAN K SWEENY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NEHA PATEL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since April 15, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: NEHA PATEL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 10, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- October 23, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 23, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- June 3, 2024: LAURA SIMMERMAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: DONNA G KELSEY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: LAURA BURTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: GREGORY S FEHRIBACH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BEVERLY MUKES-GAITHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: BRENDA HORN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: MARK E DICE (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: NEHA PATEL (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since March 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- June 3, 2024: DANIELLE SMITH (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on June 3, 2024; associated with this enrollment since January 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-06-03.csv
- August 15, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 26, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 13, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- June 4, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 12, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 31, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 1, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- June 30, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 4, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- November 13, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- May 21, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- May 31, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- June 20, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- February 11, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 12, 2026 | March 12, 2026 | 5 | 2 |
| 2 | January 30, 2025 | January 30, 2025 | 19 | 3 |
| 3 | February 15, 2024 | February 15, 2024 | 7 | 7 |
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 |
|---|---|---|---|---|---|---|---|---|
| March 12, 2026 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | March 26, 2026 |
| January 16, 2026 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | Yes | Deficient, Provider has date of correction | January 30, 2026 |
| January 16, 2026 | 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. | D | Yes | Deficient, Provider has date of correction | January 30, 2026 |
| January 16, 2026 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Yes | Deficient, Provider has date of correction | January 30, 2026 |
| December 16, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | |
| June 24, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 24, 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 24, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 24, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| June 24, 2025 | 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. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| May 21, 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | Yes | Deficient, Provider has date of correction | June 27, 2025 |
| May 21, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | Yes | Deficient, Provider has date of correction | June 27, 2025 |
| May 21, 2025 | 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 | June 27, 2025 |
| May 21, 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 | Yes | Deficient, Provider has date of correction | June 27, 2025 |
| May 21, 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 | Yes | Deficient, Provider has date of correction | June 27, 2025 |
| May 21, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | July 7, 2025 |
| May 21, 2025 | Health | F 0925 | Environmental Deficiencies | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Yes | Deficient, Provider has date of correction | June 27, 2025 |
| March 14, 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | Yes | Deficient, Provider has date of correction | April 15, 2025 |
| March 14, 2025 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | E | Yes | Deficient, Provider has date of correction | April 15, 2025 |
| March 14, 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 | Yes | Deficient, Provider has date of correction | April 18, 2025 |
| March 14, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | April 18, 2025 |
| January 30, 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 | February 14, 2025 |
| January 30, 2025 | 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 | February 14, 2025 |
| October 24, 2024 | Health | F 0659 | Resident Assessment and Care Planning Deficiencies | Provide care by qualified persons according to each resident's written plan of care. | D | Yes | Deficient, Provider has date of correction | November 10, 2024 |
| February 15, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | March 7, 2024 |
| February 15, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | March 7, 2024 |
| February 15, 2024 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Yes | Deficient, Provider has date of correction | March 7, 2024 |
| February 15, 2024 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | March 7, 2024 |
| February 15, 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 | March 7, 2024 |
| February 15, 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. | E | No | Deficient, Provider has date of correction | March 7, 2024 |
| February 15, 2024 | 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 | March 7, 2024 |
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 | THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY |
| Date First Approved to Provide Medicare and Medicaid Services | 1984-10-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Marion |
| Telephone Number | 3177878253 |
| Chain Name | AMERICAN SENIOR COMMUNITIES |
| Chain ID | 33 |
| 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 | 110 |
| Average Number of Residents per Day | 89.8 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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The citable document for FOREST CREEK VILLAGE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Indiana at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 155241.