Skilled nursing facility · CMS certification number 155523
RICHLAND BEAN BLOSSOM HEALTH CARE CENTER
ELLETTSVILLE, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 74
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,440,118 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$267,302 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,707,420 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,505,496 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,201,924 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,984 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,239,908 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,239,908 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 27,084 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 939 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,630 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,692 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,261 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 22 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 52 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 483.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 233.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436701, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 9, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,544,364 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $359,748 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,184,616 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,228,158 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$43,542 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,835 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$30,707 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$30,707 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,962 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 209.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391697, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 19, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,426,079 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$269,701 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,695,780 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,089,864 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$394,084 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $190,418 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$203,666 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$203,666 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,647 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 486.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389888, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 10, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,704,754 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $662,733 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,042,021 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,794,660 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$752,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $376,219 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$376,420 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$376,420 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,201 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 112.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 361.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1319119, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,405,022 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $37,464 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,367,558 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,747,836 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $619,722 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $444,660 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,064,382 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,064,382 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,578 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 117.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 286.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 232.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309404, read from the public cost report file SNF10FY2020.zip.
Fiscal year 2019, ended December 31, 2019
Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 14, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,916,204 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $314,407 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,601,797 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,078,318 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $523,479 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,826 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $527,305 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $527,305 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,571 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 135.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 500.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 348.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282220, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,210,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $505,112 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,705,860 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,250,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $455,585 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,360 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $458,945 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $458,945 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,040 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 294.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 176.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238046, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 1, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,305,847 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $778,299 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,527,548 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,215,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $311,581 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,038 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $313,619 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $313,619 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,978 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 197 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 167.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1204108, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for July 1, 2016 to December 31, 2016 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 18, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,831,714 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $582,755 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,248,959 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,484,056 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$235,097 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $691 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$234,406 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$234,406 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,709 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 211 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 91.99 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 60.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169810, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for June 1, 2015 to June 30, 2015 — a reporting period of 29 days, not a full year, on form CMS-2540-10, settled, processed by CMS on March 7, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $648,474 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $59,371 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $589,103 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $500,910 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $88,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,466 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $89,659 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $89,659 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 2,212 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 15 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119994, read from the public cost report file SNF10FY2015.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 26, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,457,805 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,295,918 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,161,887 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,702,727 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $459,160 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,330 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $462,490 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $462,490 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,786 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 283 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084998, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for November 1, 2012 to June 30, 2013 — a reporting period of 241 days, not a full year, on form CMS-2540-10, settled, processed by CMS on February 4, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,734,197 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $710,676 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,023,521 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,631,678 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $391,843 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,572 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $395,415 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $395,415 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,534 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 243.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055129, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended October 31, 2012
Cost report for July 1, 2012 to October 31, 2012 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 21, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,402,664 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $188,948 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,213,716 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,836,956 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $376,760 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,223 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $377,983 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $377,983 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,964 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 289.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047090, read from the public cost report file SNF10FY2012.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 November 5, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,651,794 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,303,373 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $348,421 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,652 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $52,727 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $301,346 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,086 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 323.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 196.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433593, 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 October 21, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,853,061 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,604,950 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $248,111 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,674 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $255,785 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,743 | 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 | 57.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 470.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 204.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418933, 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 August 4, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,629,829 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,406,201 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $223,628 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,818 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $233,446 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,834 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 487.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 182.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384759, 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 August 28, 2009.
None of these figures is carried on this report.
CMS report record 355636, 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 24, 2008.
None of these figures is carried on this report.
CMS report record 326080, 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 3, 2007.
None of these figures is carried on this report.
CMS report record 277922, 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 August 17, 2006.
None of these figures is carried on this report.
CMS report record 261352, 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 27, 2005.
None of these figures is carried on this report.
CMS report record 235638, 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 October 15, 2005.
None of these figures is carried on this report.
CMS report record 234045, 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 May 7, 2003.
None of these figures is carried on this report.
CMS report record 143345, 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 11, 2003.
Net income: −$9,159 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
CMS report record 114629, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 26, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,044,175 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,296,579 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$252,404 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,859 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$245,545 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,219 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,286.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 575.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14328, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on June 15, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,394,817 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,259,534 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $135,283 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,803 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $142,086 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,022 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 101.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,257.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 424.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14327, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for July 1, 1997 to June 30, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,185,190 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,160,303 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $24,887 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $31,662 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $56,549 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,881 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 114.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 580.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14325, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended June 30, 1997
Cost report for July 1, 1996 to June 30, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 26, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,231,294 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,231,893 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$599 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,515 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $25,106 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$20,190 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,367 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 333.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14324, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended June 30, 1996
Cost report for July 1, 1995 to June 30, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on April 1, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,177,236 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,750,455 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $426,781 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,648 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$9,367 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $441,796 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,115 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 124.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 468.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14322, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| PUTNAM COUNTY HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 06/01/2015 |
| DAVIS, TONIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/14/2025 |
| HHSS MANAGEMENT, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2020 |
| HOOSIER CARE PROPERTIES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/01/2015 |
| HOOSIER WEST LEASING COMPANY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/06/2012 |
| MARTIN, THOMAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2021 |
| RBB FACILITIES COMPANY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/06/2012 |
| RICHLAND BEAN BLOSSOM LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/19/2025 |
| LOUDERMILK, CHRISTOPHER | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/19/2025 |
| BRAY, ARNOLD | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/01/2012 |
| FRY, JANICE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/01/2012 |
| HEADLEY, MATTHEW | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/01/2012 |
| LANDRY, KEITH | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/01/2020 |
| LEWIS, KATRINA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/21/2022 |
| SILLERY, DEBRA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/03/2026 |
| UNDERWOOD, WENDELL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/20/2024 |
| WEATHERFORD, DENNIS | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/18/2012 |
| WOOD, MARK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/05/2024 |
| DAVIS, TONIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/14/2025 |
| HHSS MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2020 |
| MARTIN, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2021 |
| RICHLAND BEAN BLOSSOM LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/06/2012 |
| WEATHERFORD, DENNIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/18/2012 |
| SILLERY, DEBRA | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/03/2026 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of PUTNAM COUNTY HOSPITAL (enrollment ID O20151028002064).
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 |
|---|---|---|---|---|---|
| PUTNAM COUNTY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| HHSS MANAGEMENT, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| HOOSIER CARE PROPERTIES INC | Organization | ADP OF THE SNF | Not stated in the filing | 6/1/2015 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| HOOSIER WEST LEASING COMPANY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/6/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| RBB FACILITIES COMPANY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/6/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| RICHLAND BEAN BLOSSOM LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/19/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| THOMAS JAMES MARTIN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TONIA L DAVIS | Individual | ADP OF THE SNF | Not stated in the filing | 4/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ARNOLD D BRAY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBRA K SILLERY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/3/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENNIS A WEATHERFORD | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/18/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JANICE M FRY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATRINA ANN LEWIS | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KEITH P LANDRY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK WOOD | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 8/5/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW L HEADLEY | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| WENDELL UNDERWOOD | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 5/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENNIS A WEATHERFORD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/18/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HHSS MANAGEMENT, LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| RICHLAND BEAN BLOSSOM LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/6/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| THOMAS JAMES MARTIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TONIA L DAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/14/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DEBRA K SILLERY | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 1/3/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: DEBRA K SILLERY (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 3, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DEBRA K SILLERY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 3, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- November 1, 2025: KATRINA ANN LEWIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JACQUELINE M ROUTT no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DENNIS A WEATHERFORD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DENNIS A WEATHERFORD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROBERT N MANN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANICE M FRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ARNOLD D BRAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KEITH P LANDRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CAROLYN GRUBB no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DENNIS D O'HAIR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MATTHEW L HEADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KATRINA ANN LEWIS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARK WOOD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 5, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WENDELL UNDERWOOD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DENNIS A WEATHERFORD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 18, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DENNIS A WEATHERFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 18, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HOOSIER CARE PROPERTIES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANICE M FRY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HOOSIER WEST LEASING COMPANY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since November 6, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ARNOLD D BRAY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KEITH P LANDRY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: THOMAS JAMES MARTIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: THOMAS JAMES MARTIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HHSS MANAGEMENT, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HHSS MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MATTHEW L HEADLEY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TONIA L DAVIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TONIA L DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: RBB FACILITIES COMPANY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since November 6, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: RICHLAND BEAN BLOSSOM LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 19, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- March 15, 2023: KATRINA ANN LEWIS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since December 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- February 15, 2023: JUDY C JOHNSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: KEITH M ERNST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: STACIE L TURNER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: BRENDA CAMPBELL no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: JACQUELINE M ROUTT (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since January 3, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- July 1, 2026: DEBRA K SILLERY (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 3, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: DEBRA K SILLERY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since January 3, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- November 1, 2025: KATRINA ANN LEWIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JACQUELINE M ROUTT no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DENNIS A WEATHERFORD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DENNIS A WEATHERFORD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ROBERT N MANN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANICE M FRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ARNOLD D BRAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KEITH P LANDRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: CAROLYN GRUBB no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DENNIS D O'HAIR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MATTHEW L HEADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KATRINA ANN LEWIS (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since December 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MARK WOOD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since August 5, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: WENDELL UNDERWOOD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since May 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DENNIS A WEATHERFORD (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 18, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: DENNIS A WEATHERFORD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 18, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HOOSIER CARE PROPERTIES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since June 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: JANICE M FRY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HOOSIER WEST LEASING COMPANY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since November 6, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: ARNOLD D BRAY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: KEITH P LANDRY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: THOMAS JAMES MARTIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: THOMAS JAMES MARTIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HHSS MANAGEMENT, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: HHSS MANAGEMENT, LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: MATTHEW L HEADLEY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TONIA L DAVIS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: TONIA L DAVIS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since April 14, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: RBB FACILITIES COMPANY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since November 6, 2012. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- November 1, 2025: RICHLAND BEAN BLOSSOM LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on November 1, 2025; associated with this enrollment since September 19, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 9, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- July 19, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- March 15, 2023: KATRINA ANN LEWIS (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since December 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- February 15, 2023: JUDY C JOHNSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: KEITH M ERNST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: STACIE L TURNER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- February 15, 2023: BRENDA CAMPBELL no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 10, 2026 | April 10, 2026 | 5 | 6 |
| 2 | May 9, 2025 | May 9, 2025 | 14 | 17 |
| 3 | July 12, 2024 | July 12, 2024 | 6 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
25 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| April 10, 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | No | Deficient, Provider has date of correction | May 12, 2026 |
| April 10, 2026 | 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 | May 12, 2026 |
| April 10, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | May 12, 2026 |
| April 10, 2026 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | No | Deficient, Provider has date of correction | May 12, 2026 |
| December 9, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | December 16, 2025 |
| May 9, 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | June 15, 2025 |
| May 9, 2025 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | No | Deficient, Provider has date of correction | June 15, 2025 |
| May 9, 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | June 15, 2025 |
| May 9, 2025 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | June 15, 2025 |
| May 9, 2025 | Health | F 0574 | Resident Rights Deficiencies | The resident has the right to receive notices in a format and a language he or she understands. | C | No | Deficient, Provider has date of correction | June 15, 2025 |
| May 9, 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | June 15, 2025 |
| May 9, 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | June 15, 2025 |
| May 9, 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | June 15, 2025 |
| May 9, 2025 | 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 15, 2025 |
| May 9, 2025 | 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 | June 15, 2025 |
| May 9, 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | June 15, 2025 |
| May 9, 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | June 15, 2025 |
| May 9, 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 15, 2025 |
| September 24, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Past Non-Compliance | September 11, 2024 |
| July 12, 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | August 7, 2024 |
| July 12, 2024 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | No | Deficient, Provider has date of correction | August 7, 2024 |
| July 12, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | August 7, 2024 |
| July 12, 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 | August 7, 2024 |
| February 8, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | February 23, 2024 |
| February 8, 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Past Non-Compliance | January 10, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | PUTNAM COUNTY HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1994-06-03 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Monroe |
| Telephone Number | 8128766400 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 74 |
| Average Number of Residents per Day | 55.2 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 2 |
| 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 RICHLAND BEAN BLOSSOM HEALTH CARE CENTER: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for RICHLAND BEAN BLOSSOM HEALTH CARE CENTER
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.
Other public records in Indiana
- ALEXANDRIA WWTP, ALEXANDRIA Water discharge permit
- DANVILLE WWTP, DANVILLE Water discharge permit
- PORTLAND WWTP, PORTLAND Water discharge permit
- GREENFIELD WWTP, GREENFIELD Water discharge permit
- GREENSBURG WWTP, GREENSBURG Water discharge permit
- YORKTOWN WWTP, TOWN OF, YORKTOWN Water discharge permit
- NOBLESVILLE WWTP, CITY OF, NOBLESVILLE Water discharge permit
- MONTICELLO WWTP, MONTICELLO Water discharge permit
- RIETH RILEY CONSTRUCTION COMPANY INCORPORATED, TIPTON Air emission source
- LAP WOOD PRODUCTS, MONTEREY Air emission source
- CALCAR QUARRY, PAOLI Air emission source
- E & B PAVING, LLC, NOBLESVILLE Air emission source
- JENSTAR ASPHALT LLC, GARY Air emission source
- DAVIESS COUNTY MUNICIPAL HIGHWAY DEPARTMENT, MONTGOMERY Air emission source
- RIETH-RILEY CONSTRUCTION COMPANY INCORPORATED, FREMONT Air emission source
- JH RUDOLPH & COMPANY INCORPORATED PETERSBURG, DALE Air emission source
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 155523.