Skilled nursing facility · CMS certification number 155482
KENDALLVILLE MANOR
KENDALLVILLE, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 60
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 September 18, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,097,334 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,118,475 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,978,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,004,701 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $974,158 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,355 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,010,513 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,010,513 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 21,960 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 317 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,512 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,987 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,816 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 52 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 79.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 554 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 212.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439780, 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 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,206,509 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $947,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,258,750 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,982,137 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $276,613 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $267,856 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $544,469 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $544,469 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,639 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 138 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 223.35 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395361, 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 21, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,166,500 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $579,266 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,587,234 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,336,267 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $250,967 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $166,071 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $417,038 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $417,038 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,878 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 121 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 193.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 122.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362654, 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 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,521,131 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $301,491 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,219,640 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,661,009 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $558,631 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,522 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $561,153 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $561,153 (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 | 45 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,732 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 49 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 314.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 198.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333315, 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 November 25, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,451,888 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$426,766 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,878,654 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,973,130 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$94,476 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $178,266 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $83,790 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $83,790 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,178 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 254.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305510, 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 3, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,215,968 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$373,635 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,589,603 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,705,011 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$115,408 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,358 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$111,050 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$111,050 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,240 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 18 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 513.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274801, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,507,733 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$168,607 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,676,340 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,730,218 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$53,878 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,131 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$47,747 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$47,747 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,133 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 22 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 415.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238045, 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 | $2,429,550 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$106,539 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,536,089 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,754,415 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$218,326 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,291 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$213,035 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$213,035 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,377 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 338.36 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 260.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1203420, 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 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,984,536 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$21,033 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,005,569 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,823,370 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $182,199 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,490 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $184,689 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $184,688 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,984 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 76 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 144.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169806, 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 15, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,880,245 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$21,033 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,901,278 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,910,458 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$9,180 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $241 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$8,939 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$8,940 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,674 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 57 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 187.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1141245, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,605,049 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $337,271 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,267,778 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,368,456 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$100,678 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,591 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$59,087 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$59,086 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,810 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 164.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104497, 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 July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,470,454 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $410,951 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,059,503 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,762,916 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $296,587 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $5,383 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $301,970 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $301,970 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,848 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 131.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073269, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for October 1, 2012 to December 31, 2012 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $891,726 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $107,878 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $783,848 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $655,877 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $127,971 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | $127,971 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $127,971 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 2,809 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 15.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 82.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1043134, read from the public cost report file SNF10FY2013.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 October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,145,313 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $30,721 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,114,592 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,529,789 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$415,197 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $458 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$414,739 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$414,739 (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 | 60 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,743 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 110.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016927, 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 8, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,702,947 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,936,046 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$233,099 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,645 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$104,102 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$127,352 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,662 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 55 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 74.86 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 248.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428722, 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 22, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,314,412 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,810,555 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$496,143 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$1,345 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$11,551 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$485,937 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,074 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 225.41 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 407145, 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 May 6, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,771,418 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,651,899 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $119,519 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$13,405 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $63,004 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $43,110 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,431 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.71 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 126.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368968, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,765,311 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,021,410 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$256,099 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $76,608 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$179,491 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,587 | 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 | 73.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 262.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 335872, 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 June 4, 2008.
None of these figures is carried on this report.
CMS report record 311307, 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 March 15, 2007.
None of these figures is carried on this report.
CMS report record 274920, 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 January 26, 2006.
None of these figures is carried on this report.
CMS report record 241311, 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 August 24, 2005.
None of these figures is carried on this report.
CMS report record 231553, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for October 1, 2002 to December 31, 2002 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 18, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $645,838 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $604,065 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $41,773 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,227 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $44,000 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 4,569 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 19 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 240.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 169097, read from the public cost report file SNFFY2003.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 28, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,399,988 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,473,968 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$73,980 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,712 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$67,268 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,096 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 80 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 213.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 146209, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for March 2, 2000 to December 31, 2000 — a reporting period of 304 days, on form CMS-2540-96, settled, processed by CMS on January 22, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,785,989 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,958,237 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$172,248 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,965 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$166,283 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,598 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 59 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.68 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 230.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14039, 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 August 10, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,794,604 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,018,728 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$224,124 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $28,324 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$195,800 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,457 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 662.24 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 214.68 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3812, 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 | $2,877,735 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,080,929 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$203,194 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,444 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$186,750 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,406 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,504.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 204.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3810, 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 30, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,759,383 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,563,853 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $195,530 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $22,818 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $218,348 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,749 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 707.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 165.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 3808, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| CIBC BANK USA | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 11/01/2020 |
| 1802 DOWLING PROPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| ADVANCED CARE CONSULTANTS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2022 |
| BLUE MANAGEMENT SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2024 |
| CLINICAL CONSULTING SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| FIRST BANK OF BERNE | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2020 |
| HILL, ANTHONY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/14/2022 |
| JSJ HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/24/2026 |
| JSJ PROPERTY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| KENDALLVILLE NURSING AND REHAB LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| LME FAMILY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| MIDWEST IN OPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/24/2026 |
| OFFERLE, ANDREW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/02/2021 |
| SAMARA FAMILY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| SUMMATION FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| GREATOREX, TINA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/24/2026 |
| SCHIOWITZ, MARC | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/24/2026 |
| SEBBAG, GABRIEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/24/2026 |
| BORNE-BAUMAN, CANDICE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2019 |
| FLUECKIGER, RUSSELL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2012 |
| LEHMAN, SCOTT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/14/2020 |
| MACKLIN, LARRY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/01/2012 |
| MCINTIRE, DAVID | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2019 |
| ADAMS COUNTY MEMORIAL HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 10/01/2012 |
| BORNE-BAUMAN, CANDICE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| FLUECKIGER, RUSSELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2012 |
| HILL, ANTHONY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/14/2022 |
| KENDALLVILLE NURSING AND REHAB LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2020 |
| LEHMAN, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/14/2020 |
| MACKLIN, LARRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2012 |
| MCINTIRE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| OFFERLE, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/02/2021 |
| SMITH, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| SPRUNGER, KYLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2018 |
| WHEELER, DANE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2012 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ADAMS COUNTY MEMORIAL HOSPITAL (enrollment ID O20121120000150).
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 |
|---|---|---|---|---|---|
| ADAMS COUNTY MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| CIBC BANK USA | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| 1802 DOWLING PROPCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| ADVANCED CARE CONSULTANTS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW OFFERLE | Individual | ADP OF THE SNF | Not stated in the filing | 1/2/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY HILL | Individual | ADP OF THE SNF | Not stated in the filing | 3/14/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BLUE MANAGEMENT SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLINICAL CONSULTING SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| FIRST BANK OF BERNE | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| JSJ HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 2/24/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| JSJ PROPERTY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| KENDALLVILLE NURSING AND REHAB LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| LME FAMILY HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| MIDWEST IN OPCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 2/24/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAMARA FAMILY HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| SUMMATION FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 2/24/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| CANDICE BORNE-BAUMAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID MCINTIRE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LARRY MACKLIN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RUSSELL W FLUECKIGER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT E LEHMAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/14/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADAMS COUNTY MEMORIAL HOSPITAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW OFFERLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/2/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANTHONY HILL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/14/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CANDICE BORNE-BAUMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANE WHEELER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID MCINTIRE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KENDALLVILLE NURSING AND REHAB LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| KYLE SPRUNGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LARRY MACKLIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RUSSELL W FLUECKIGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT E LEHMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/14/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT T SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- April 1, 2026: SCOTT T SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SCOTT T SMITH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KYLE SPRUNGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KYLE SPRUNGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DANE E WHEELER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DANE E WHEELER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SAMARA FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CLINICAL CONSULTING SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 24, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CIBC BANK USA (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SCOTT T SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JSJ HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 24, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KYLE SPRUNGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SUMMATION FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BLUE MANAGEMENT SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KENDALLVILLE NURSING AND REHAB LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KENDALLVILLE NURSING AND REHAB LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CANDICE BORNE-BAUMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CANDICE BORNE-BAUMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADVANCED CARE CONSULTANTS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANDREW OFFERLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANDREW OFFERLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIDWEST IN OPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 24, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DAVID MCINTIRE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DAVID MCINTIRE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RUSSELL W FLUECKIGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RUSSELL W FLUECKIGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DANE E WHEELER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LARRY MACKLIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LARRY MACKLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JSJ PROPERTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY HILL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY HILL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LME FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SCOTT E LEHMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SCOTT E LEHMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADAMS COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: FIRST BANK OF BERNE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: 1802 DOWLING PROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- March 15, 2023: JOELLEN E EIDAM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JOELLEN E EIDAM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SCOTT T SMITH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SCOTT T SMITH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: KYLE SPRUNGER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: KYLE SPRUNGER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- April 1, 2026: SCOTT T SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SCOTT T SMITH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KYLE SPRUNGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KYLE SPRUNGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DANE E WHEELER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DANE E WHEELER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SAMARA FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CLINICAL CONSULTING SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 24, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CIBC BANK USA (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SCOTT T SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JSJ HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 24, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KYLE SPRUNGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SUMMATION FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BLUE MANAGEMENT SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KENDALLVILLE NURSING AND REHAB LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KENDALLVILLE NURSING AND REHAB LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CANDICE BORNE-BAUMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CANDICE BORNE-BAUMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADVANCED CARE CONSULTANTS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since September 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANDREW OFFERLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANDREW OFFERLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 2, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIDWEST IN OPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 24, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DAVID MCINTIRE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DAVID MCINTIRE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RUSSELL W FLUECKIGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RUSSELL W FLUECKIGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DANE E WHEELER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LARRY MACKLIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LARRY MACKLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JSJ PROPERTY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY HILL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ANTHONY HILL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since March 14, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LME FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SCOTT E LEHMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SCOTT E LEHMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADAMS COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since October 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: FIRST BANK OF BERNE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: 1802 DOWLING PROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- September 18, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | January 30, 2026 | January 30, 2026 | 0 | 5 |
| 2 | January 27, 2025 | January 27, 2025 | 3 | 3 |
| 3 | February 7, 2024 | February 7, 2024 | 4 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
7 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| January 27, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | February 13, 2025 |
| January 27, 2025 | Health | F 0756 | Pharmacy Service Deficiencies | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | D | No | Deficient, Provider has date of correction | February 13, 2025 |
| January 27, 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. | E | No | Deficient, Provider has date of correction | February 13, 2025 |
| August 27, 2024 | 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 | Deficient, Provider has date of correction | September 9, 2024 |
| February 7, 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 | Yes | Deficient, Provider has date of correction | February 21, 2024 |
| February 7, 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 | Yes | Deficient, Provider has date of correction | February 21, 2024 |
| February 7, 2024 | 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 | February 21, 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 | ADAMS COUNTY MEMORIAL HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-12-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Noble |
| Telephone Number | 2603474374 |
| Chain Name | IDE MANAGEMENT GROUP |
| Chain ID | 278 |
| 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 | 60 |
| Average Number of Residents per Day | 50.6 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| 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 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 September 18, 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 KENDALLVILLE 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 155482.