Skilled nursing facility · CMS certification number 155436
HICKORY CREEK AT WINAMAC
WINAMAC, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 36
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,050,059 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$701,588 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,751,647 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,590,162 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $161,485 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,218 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $167,703 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $167,703 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 13,176 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 678 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,939 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,216 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 10,833 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 14 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 22 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 26 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 62 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 315.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 174.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433582, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for April 1, 2023 to December 31, 2023 — a reporting period of 274 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,321,836 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$285,729 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,607,565 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,418,349 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $189,216 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,358 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $196,574 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $196,574 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,141 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 23 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 575.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 397.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395489, 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 27, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,251,755 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$448,221 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,699,976 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,872,788 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$172,812 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $175,506 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,694 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,694 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,719 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 21 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 602.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 510.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1365567, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 28, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,875,684 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$189,711 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,065,395 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,694,735 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$629,340 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $201,157 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$428,183 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$428,183 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,941 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 16 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,311.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 558.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1334368, 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 September 29, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,131,429 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$544,590 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,676,019 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,829,771 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$153,752 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $219,624 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $65,872 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $65,872 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,672 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 91.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 444.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301371, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 15, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,161,707 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$358,077 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,519,784 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,604,511 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$84,727 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,914 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$78,813 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$78,813 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,851 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 364.85 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1276151, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 10, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,023,268 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$390,725 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,413,993 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,435,511 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$21,518 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,987 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$14,531 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$14,531 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,370 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 21 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 493.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236254, 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 27, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,961,848 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$294,151 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,255,999 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,259,327 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,328 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,659 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,331 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,331 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,924 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 26 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 88.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 381.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203415, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on June 21, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,068,884 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$119,680 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,188,564 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,257,701 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$69,137 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,980 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$63,157 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$63,157 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,900 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 27 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 81.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 366.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1164381, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,216,491 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$20,484 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,236,975 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,197,421 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $39,554 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,577 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $45,131 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $45,131 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,554 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 33 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 319.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1134592, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,122,676 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $12,448 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,110,228 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,110,175 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $53 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,089 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $7,142 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $7,142 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,082 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 229.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105227, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for August 1, 2013 to December 31, 2013 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 19, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $664,560 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$17,326 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $681,886 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $838,497 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$156,611 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,254 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$154,357 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$154,357 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 3,501 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 11 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 318.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1066155, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for May 1, 2012 to December 31, 2012 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,003,939 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $40,850 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $963,089 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,115,382 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$152,293 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,417 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$146,876 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$146,876 (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 | 36 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 5,625 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 25 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.62 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 225 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043509, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended April 30, 2011
Cost report for May 1, 2010 to April 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,777,362 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,694,678 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $82,684 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $8,161 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $90,845 (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 | 36 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,998 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 38 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 289.42 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 432860, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended April 30, 2010
Cost report for May 1, 2009 to April 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,818,640 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,599,720 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $218,920 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,496 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $226,416 (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 | 36 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,854 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 62.3 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 227.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418366, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended April 30, 2009
Cost report for May 1, 2008 to April 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 21, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,957,303 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,693,074 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $264,229 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $31,069 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $295,298 (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 | 36 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,150 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 243 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 382946, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended April 30, 2008
Cost report for May 1, 2007 to April 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2009.
None of these figures is carried on this report.
CMS report record 349492, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended April 30, 2007
Cost report for May 1, 2006 to April 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 30, 2008.
None of these figures is carried on this report.
CMS report record 322061, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended April 30, 2006
Cost report for May 1, 2005 to April 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 15, 2007.
None of these figures is carried on this report.
CMS report record 291933, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended April 30, 2005
Cost report for May 1, 2004 to April 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 20, 2006.
None of these figures is carried on this report.
CMS report record 247569, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended April 30, 2004
Cost report for May 1, 2003 to April 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 16, 2005.
None of these figures is carried on this report.
CMS report record 233191, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended April 30, 2003
Cost report for May 1, 2002 to April 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 17, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,213,983 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,292,685 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$78,702 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,474 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $18 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$68,246 (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 | 36 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,878 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 44 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 224.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 176450, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended April 30, 2002
Cost report for November 1, 2001 to April 30, 2002 — a reporting period of 180 days, not a full year, on form CMS-2540-96, settled, processed by CMS on May 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $744,037 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $655,176 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $88,861 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,039 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $90,900 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 5,269 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 164.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 142950, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended October 31, 2001
Cost report for January 1, 2001 to October 31, 2001 — a reporting period of 303 days, on form CMS-2540-96, settled, processed by CMS on May 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,224,581 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,077,495 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $147,086 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,653 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $152,739 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,890 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 66.22 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 277.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 144075, 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 January 16, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,212,412 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,199,692 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $12,720 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,957 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $18,677 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,400 | 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 | 41.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 140.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 13727, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for October 4, 1999 to December 31, 1999 — a reporting period of 88 days, not a full year, on form CMS-2540-96, as submitted, processed by CMS on March 15, 2001.
Net income: $12,036 (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 13726, read from the public cost report file SNFFY2000.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on September 22, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,341,464 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,322,308 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $19,156 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,350 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $25,506 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,302 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 45 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 228.93 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 13722, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on September 19, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,344,103 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,265,886 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $78,217 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,924 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $86,141 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,707 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 44 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 243.34 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 13719, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for April 1, 1996 to December 31, 1996 — a reporting period of 274 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $941,771 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $901,836 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $39,935 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,129 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $45,064 (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 | 40 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,216 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 44 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 186.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 116927, 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 |
|---|---|---|---|---|
| KELLER, MICHAEL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/16/2025 |
| KING, LAUREN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/16/2025 |
| MALOTT, GREGG | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 04/01/2023 |
| AMERICAN SENIOR COMMUNITIES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2023 |
| CAMPBELL, ANDREA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2026 |
| KELLER, MICHAEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/25/2024 |
| KING, LAUREN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/06/2025 |
| PULASKI MEMORIAL HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PULASKI MEMORIAL HOSPITAL (enrollment ID O20230525000447).
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 |
|---|---|---|---|---|---|
| LAUREN KING | Individual | ADP OF THE SNF | Not stated in the filing | 12/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL RYAN KELLER | Individual | ADP OF THE SNF | Not stated in the filing | 12/16/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGG A MALOTT | Individual | CORPORATE OFFICER | 100 | 4/1/2023 | 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 | 100 | 4/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREA CAMPBELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LAUREN KING | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL RYAN KELLER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/25/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PULASKI MEMORIAL HOSPITAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 4/1/2023 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- September 1, 2026: HERALD, SAMANTHA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: CAMPBELL, ANDREA appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- August 1, 2026: SAMANTHA HERALD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ANDREA CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- February 1, 2026: CAROL ELLISON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JANINE MYERS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LAUREN KING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LAUREN KING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SAMANTHA HERALD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MICHAEL RYAN KELLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MICHAEL RYAN KELLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since March 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- September 15, 2023: SHELDON L DYNES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: AMERICAN SENIOR COMMUNITIES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DEBORAH WARE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: HENRY COUNTY MEMORIAL HOSPITAL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: STEVEN A VAN CAMP no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DONNA G KELSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: BRIAN RING no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: MARION E SHORE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: CAROL ELLISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: JOHN D PIDGEON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: JANINE MYERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: AMERICAN SENIOR COMMUNITIES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: PULASKI MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: GREGG A MALOTT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: CAROL ELLISON (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: JANINE MYERS (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- February 15, 2023: PAUL F JANSSEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TINA BERNACCHI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: BRIAN RING (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: CAROL ELLISON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since October 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JANINE MYERS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- September 1, 2026: HERALD, SAMANTHA no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: CAMPBELL, ANDREA appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- August 1, 2026: SAMANTHA HERALD no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- August 1, 2026: ANDREA CAMPBELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- February 1, 2026: CAROL ELLISON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JANINE MYERS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LAUREN KING (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LAUREN KING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SAMANTHA HERALD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 30, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MICHAEL RYAN KELLER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 16, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MICHAEL RYAN KELLER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since March 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- August 28, 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
- December 4, 2023: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- September 27, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 15, 2023: SHELDON L DYNES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: AMERICAN SENIOR COMMUNITIES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DEBORAH WARE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: HENRY COUNTY MEMORIAL HOSPITAL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: STEVEN A VAN CAMP no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: DONNA G KELSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: BRIAN RING no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: MARION E SHORE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: CAROL ELLISON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: JOHN D PIDGEON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: JANINE MYERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: AMERICAN SENIOR COMMUNITIES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: PULASKI MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: GREGG A MALOTT (OFFICER) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: CAROL ELLISON (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- September 15, 2023: JANINE MYERS (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on September 15, 2023; associated with this enrollment since April 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- February 15, 2023: PAUL F JANSSEN no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: TINA BERNACCHI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: BRIAN RING (OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: CAROL ELLISON (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since October 24, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JANINE MYERS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since July 27, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- September 28, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 29, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- December 15, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- July 10, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | November 21, 2025 | November 21, 2025 | 5 | 2 |
| 2 | September 6, 2024 | September 6, 2024 | 4 | 1 |
| 3 | October 6, 2023 | October 6, 2023 | 0 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
9 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| November 21, 2025 | 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 | January 10, 2026 |
| November 21, 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | January 10, 2026 |
| November 21, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | January 10, 2026 |
| November 21, 2025 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | January 10, 2026 |
| November 21, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | January 10, 2026 |
| September 6, 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Deficient, Provider has date of correction | October 4, 2024 |
| September 6, 2024 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | October 4, 2024 |
| September 6, 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. | F | No | Deficient, Provider has date of correction | October 4, 2024 |
| September 6, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | October 4, 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 | Government - County |
| Legal Business Name | PULASKI MEMORIAL HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-04-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Pulaski |
| Telephone Number | 5749466143 |
| Chain Name | AMERICAN SENIOR COMMUNITIES |
| Chain ID | 33 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 36 |
| Average Number of Residents per Day | 28.3 |
| 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.
Get an email when this record changes
One email a day naming what moved on HICKORY CREEK AT WINAMAC: 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.
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The citable document for HICKORY CREEK AT WINAMAC
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 155436.