Skilled nursing facility · CMS certification number 155506
HOLY CROSS REHABILITATION AND WELLNESS
SOUTH BEND, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 168
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 July 1, 2024 to June 30, 2025 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 8, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,599,437 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,913,115 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,686,322 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,238,953 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,447,369 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $67,928 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,515,297 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,515,297 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 61,320 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 4,200 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 12,594 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 8,025 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 24,819 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 135 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 346 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 491 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,259.4 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 50.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1446175, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2024, ended June 30, 2024
Cost report for July 1, 2023 to June 30, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 15, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,853,749 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,663,773 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $11,189,976 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,140,955 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$950,979 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $258,197 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$692,782 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$692,782 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,524 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 455 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.05 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,117.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1402256, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2023, ended June 30, 2023
Cost report for July 1, 2022 to June 30, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 16, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,242,199 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,651,922 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,590,277 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,900,112 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,309,835 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $193,207 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,116,628 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,116,628 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,016 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 386 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,051.23 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 62.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1371377, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2022, ended June 30, 2022
Cost report for July 1, 2021 to June 30, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,288,049 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,402,671 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,885,378 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,351,320 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,465,942 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $110,414 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,355,528 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,355,528 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,609 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 406 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.11 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 969.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 65.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1340802, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2021, ended June 30, 2021
Cost report for July 1, 2020 to June 30, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 21, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,883,211 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,677,029 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,206,182 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,109,124 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,902,942 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $295,671 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$3,607,271 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,607,271 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 31,149 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 351 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 612.75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 88.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1310637, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2020, ended June 30, 2020
Cost report for July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on February 9, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $32,197,046 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $15,277,959 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,919,087 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,788,971 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $130,116 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $815,987 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $946,103 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $946,103 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,358 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 677 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,028.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 75.86 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279862, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on February 12, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $31,866,063 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $15,665,241 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,200,822 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,461,766 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $739,056 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $107,961 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $847,017 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $847,017 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,202 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 677 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,468.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 69.72 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1250832, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for August 1, 2017 to June 30, 2018 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on February 5, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,763,698 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,205,509 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,558,189 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,496,896 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$938,707 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $44,592 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$894,115 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$894,115 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,298 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 592 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 669.62 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 66.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1218996, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended July 31, 2017
Cost report for July 1, 2017 to July 31, 2017 — a reporting period of 30 days, not a full year, on form CMS-2540-10, settled, processed by CMS on June 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,606,485 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,315,282 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,291,203 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,295,218 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$4,015 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,756 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $4,741 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $4,741 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,084 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 52 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 340.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1193614, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,271,421 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $13,933,933 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,337,488 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,369,497 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,032,009 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,551 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,000,458 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,000,458 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 44,231 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 701 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.49 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 887.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 63.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151473, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 22, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $28,259,580 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $14,067,558 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,192,022 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,106,516 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$914,494 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $50,860 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$863,634 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$873,991 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,618 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 613 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 34.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,039.55 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 74.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1117832, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 14, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $27,700,139 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $13,302,685 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,397,454 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,191,702 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $205,752 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,455 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $262,207 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $246,922 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,793 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 557 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 43.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 956.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 85.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084112, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, reopened, processed by CMS on November 5, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $23,199,243 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $10,175,116 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,024,127 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $12,725,765 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $298,362 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,804 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $329,166 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $329,166 (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 | 168 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,958 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 754 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 281.58 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1079758, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 28, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,490,671 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,594,842 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $10,895,829 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,773,612 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,122,217 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $36,852 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,159,069 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,138,269 (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 | 120 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,868 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 460 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 301.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 84.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024145, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 5, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,796,012 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,593,560 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,202,452 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $27,652 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,230,104 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,501 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 592 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.67 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 279.91 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 66.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433869, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 23, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,966,835 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,216,173 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $750,662 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $20,622 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,636 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $763,648 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,240 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 429 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 301.28 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 96.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418348, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 9, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $10,560,275 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,544,912 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $1,015,363 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,549 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $49,183 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $1,012,729 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,587 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 562 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.79 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 239.72 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 387536, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 8, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,784,815 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,921,949 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $862,866 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $53,463 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $916,329 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,695 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 559 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 204.68 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 69.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 356186, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 25, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,114,656 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,145,286 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $969,370 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $46,925 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,016,295 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,983 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 528 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 378.04 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 73.83 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 326117, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 23, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $9,092,197 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,132,282 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $959,915 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $231,730 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,191,645 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,896 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 589 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 299.96 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 67.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 279318, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,268,964 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,542,522 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $726,442 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $500,765 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $1,227,207 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 40,847 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 560 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 30.08 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 235.33 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 72.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243062, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 17, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,515,400 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,261,933 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $253,467 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $94,175 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $347,642 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,342 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 292 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,047.95 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 141.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 234414, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 13, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,025,226 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,114,475 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$89,249 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $77,374 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$11,875 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,815 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 146 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 56.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,953.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 286.4 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202365, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 3, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,967,399 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,011,514 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$44,115 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,379 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$29,736 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 41,479 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 238 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,093.9 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 174.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 151158, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,021,441 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,369,096 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$347,655 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$239,800 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$587,455 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,064 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 199 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,694.08 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 211.38 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 129439, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for June 1, 1999 to June 30, 2000 — a reporting period of 395 days, on form CMS-2540-96, settled, processed by CMS on February 4, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,397,635 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,923,452 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $474,183 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$183,299 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $290,884 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 42,885 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 293 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 38.51 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 146.37 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14203, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended May 31, 1999
Cost report for June 1, 1998 to May 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on February 3, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,842,704 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,334,361 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$491,657 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $25,688 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$465,969 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 37,662 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 475 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 79.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 242264, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended May 31, 1998
Cost report for June 1, 1997 to May 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on March 30, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,762,904 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,174,177 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,411,273 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,703 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1,404,570 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 39,698 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 408 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.17 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 97.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 212754, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended May 31, 1997
Cost report for June 1, 1996 to May 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on February 13, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,247,937 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,698,243 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $549,694 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,149 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $570,843 (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 | 120 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 38,596 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 253.46 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 318.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 130074, read from the public cost report file SNFFY1996.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| BATTJES, ABIGAIL | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/26/2022 |
| TRINITY CONTINUING CARE SERVICES | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/01/2017 |
| TRINITY CONTINUING CARE SERVICES INDIANA INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 08/01/2017 |
| SMITH, SCOTT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2020 |
| SPRUNGER, KYLE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2018 |
| WHEELER, DANE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/01/2016 |
| ANDERSON, RAY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| BATTJES, ABIGAIL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/26/2022 |
| BORNE-BAUMAN, CANDICE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| BOWENS, MARCUS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/01/2022 |
| CARTER, BENJAMIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| DRAKE, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| FLUECKIGER, RUSSELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2017 |
| ISACKSEN, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| LEHMAN, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/14/2020 |
| MACKLIN, LARRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2017 |
| MCINTIRE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| MOORE, JOSHUA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| ROTH, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| SEPPALA, CHRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| SMITH, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| SPRUNGER, KYLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2018 |
| TRINITY CONTINUING CARE SERVICES INDIANA INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/01/2017 |
| WHEELER, DANE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/01/2017 |
| BORNE-BAUMAN, CANDICE | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2019 |
| FLUECKIGER, RUSSELL | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2017 |
| LEHMAN, SCOTT | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 07/14/2020 |
| MACKLIN, LARRY | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 08/01/2017 |
| MCINTIRE, DAVID | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2019 |
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 O20170918003421).
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 | 8/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| ABIGAIL M BATTJES | Individual | ADP OF THE SNF | Not stated in the filing | 8/26/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TRINITY CONTINUING CARE SERVICES | Organization | ADP OF THE SNF | Not stated in the filing | 8/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| TRINITY CONTINUING CARE SERVICES INDIANA INC | Organization | ADP OF THE SNF | Not stated in the filing | 8/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| DANE WHEELER | Individual | CORPORATE OFFICER | 100 | 9/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KYLE SPRUNGER | Individual | CORPORATE OFFICER | 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 |
| SCOTT T SMITH | Individual | CORPORATE OFFICER | 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 |
| ABIGAIL M BATTJES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/26/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BENJAMIN R CARTER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | 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 |
| CHRISTINE SEPPALA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | 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 | 8/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL DRAKE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL ISACKSEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL ROTH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | 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 |
| JOSHUA MOORE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| 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 | 8/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARCUS A BOWENS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RAY ANDERSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | 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 | 8/1/2017 | 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 |
| TRINITY CONTINUING CARE SERVICES INDIANA INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| CANDICE BORNE-BAUMAN | Individual | TRUSTEE OF THE SNF | 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 | TRUSTEE OF THE SNF | 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 | TRUSTEE OF THE SNF | Not stated in the filing | 8/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RUSSELL W FLUECKIGER | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 8/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT E LEHMAN | Individual | TRUSTEE OF THE SNF | 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 |
Changes in ownership
- March 1, 2026: ABIGAIL M BATTJES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ABIGAIL M BATTJES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: RAY ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- January 1, 2026: SCOTT T SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KYLE SPRUNGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CHRISTINE SEPPALA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TRINITY CONTINUING CARE SERVICES INDIANA INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TRINITY CONTINUING CARE SERVICES INDIANA INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DANIEL ISACKSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SCOTT T SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KYLE SPRUNGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CANDICE BORNE-BAUMAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CANDICE BORNE-BAUMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DANIEL DRAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DAVID MCINTIRE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DAVID MCINTIRE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RUSSELL W FLUECKIGER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RUSSELL W FLUECKIGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JOSHUA MOORE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DANE E WHEELER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DANIEL ROTH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LARRY MACKLIN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LARRY MACKLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BENJAMIN R CARTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARCUS A BOWENS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SCOTT E LEHMAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SCOTT E LEHMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TRINITY CONTINUING CARE SERVICES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- May 15, 2023: TERRY TOMASI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: JOELLEN E EIDAM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: SCOTT T SMITH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: SCOTT T SMITH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: KYLE SPRUNGER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: KYLE SPRUNGER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
Recent changes on this record
- March 1, 2026: ABIGAIL M BATTJES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ABIGAIL M BATTJES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since August 26, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: RAY ANDERSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- January 8, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. SNF10FY2024.zip
- January 1, 2026: SCOTT T SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KYLE SPRUNGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CHRISTINE SEPPALA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TRINITY CONTINUING CARE SERVICES INDIANA INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TRINITY CONTINUING CARE SERVICES INDIANA INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DANIEL ISACKSEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SCOTT T SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: KYLE SPRUNGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CANDICE BORNE-BAUMAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: CANDICE BORNE-BAUMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DANIEL DRAKE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DAVID MCINTIRE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DAVID MCINTIRE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RUSSELL W FLUECKIGER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: RUSSELL W FLUECKIGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JOSHUA MOORE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DANE E WHEELER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DANIEL ROTH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LARRY MACKLIN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: LARRY MACKLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BENJAMIN R CARTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: MARCUS A BOWENS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since April 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SCOTT E LEHMAN (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SCOTT E LEHMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TRINITY CONTINUING CARE SERVICES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 15, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2023.zip
- January 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2022.zip
- May 15, 2023: TERRY TOMASI no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: JOELLEN E EIDAM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: SCOTT T SMITH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: SCOTT T SMITH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: KYLE SPRUNGER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- May 15, 2023: KYLE SPRUNGER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 15, 2023; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-05-15.csv
- January 24, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2021.zip
- February 21, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2020.zip
- February 9, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 28, 2025 | April 28, 2025 | 13 | 13 |
| 2 | May 21, 2024 | May 21, 2024 | 9 | 3 |
| 3 | May 23, 2023 | May 23, 2023 | 4 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
26 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 15, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | July 1, 2026 |
| May 15, 2026 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | July 1, 2026 |
| March 13, 2026 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | April 24, 2026 |
| March 13, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | April 24, 2026 |
| September 17, 2025 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Yes | Deficient, Provider has date of correction | October 22, 2025 |
| April 28, 2025 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | D | Yes | Deficient, Provider has date of correction | June 6, 2025 |
| April 28, 2025 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | June 6, 2025 |
| April 28, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | June 6, 2025 |
| April 28, 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | June 6, 2025 |
| April 28, 2025 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | June 6, 2025 |
| April 28, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | June 6, 2025 |
| April 28, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 6, 2025 |
| April 28, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Yes | Deficient, Provider has date of correction | June 6, 2025 |
| June 25, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Yes | Deficient, Provider has date of correction | July 22, 2024 |
| May 21, 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | July 5, 2024 |
| May 21, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | July 5, 2024 |
| May 21, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | July 5, 2024 |
| May 21, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | July 5, 2024 |
| May 21, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | July 5, 2024 |
| May 21, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | July 5, 2024 |
| May 21, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | No | Deficient, Provider has date of correction | July 5, 2024 |
| May 21, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | July 5, 2024 |
| May 21, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 5, 2024 |
| May 23, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | June 23, 2023 |
| May 23, 2023 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | June 23, 2023 |
| May 23, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | June 23, 2023 |
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 | Non profit - Other |
| Legal Business Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1994-01-04 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | St. Joseph |
| Telephone Number | 5742477500 |
| Chain Name | TRINITY HEALTH |
| Chain ID | 525 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 168 |
| Average Number of Residents per Day | 69.9 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 1 |
| Short-Stay QM Rating | 3 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on HOLY CROSS REHABILITATION AND WELLNESS: 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 8, 2026: A cost report was filed for fiscal year 2025, on form CMS-2540-10. That is one line of the alert.
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The citable document for HOLY CROSS REHABILITATION AND WELLNESS
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 155506.