Skilled nursing facility · CMS certification number 155447
HOLIDAY MANOR
PRINCETON, Indiana
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026.
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, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 22, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,356,929 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,526,087 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$169,158 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,033 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$163,125 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Bed days available, all components | 33,215 | CMS-2540-96 worksheet S300001 line 900 column 200 |
| Medicare (Title XVIII) patient days | 2,114 | CMS-2540-96 worksheet S300001 line 900 column 400 |
| Other-payer patient days | 15,908 | CMS-2540-96 worksheet S300001 line 900 column 600 |
| Total patient days, all components | 18,022 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Medicare discharges | 31 | CMS-2540-96 worksheet S300001 line 900 column 900 |
| Other-payer discharges | 50 | CMS-2540-96 worksheet S300001 line 900 column 1100 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 222.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 167507, 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 May 30, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,203,181 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,410,523 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$207,342 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,137 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$200,205 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,144 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 53 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 65.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 323.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 146546, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for March 6, 2000 to December 31, 2000 — a reporting period of 300 days, on form CMS-2540-96, settled, processed by CMS on February 4, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,843,371 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,977,540 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$134,169 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,944 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$128,225 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,332 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 50 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 340.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 13798, 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 July 19, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,449,075 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,212,853 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $236,222 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $35,186 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $271,408 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,600 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 497.79 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 238.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3804, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 19, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,076,588 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,943,307 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $133,281 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,331 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $160,612 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,647 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 43.73 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 584.85 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 223.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3802, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for February 1, 1997 to December 31, 1997 — a reporting period of 333 days, on form CMS-2540-96, settled with audit, processed by CMS on September 9, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,183,319 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,564,262 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $1,619,057 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,673 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,655,730 (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 | 91 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,411 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.53 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 579.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 256.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3800, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
No change in ownership appears in CMS’s ownership data for this facility.
Recent changes on this record
- January 22, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- May 30, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- February 4, 2002: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- July 19, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- July 19, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- September 19, 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- September 9, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
- July 21, 1999: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1996.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
Get an email when this record changes
One email a day naming what moved on HOLIDAY MANOR: 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 January 22, 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. That is one line of the alert.
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The citable document for HOLIDAY MANOR
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 155447.