Skilled nursing facility · CMS certification number 155526
PERSIMMON RIDGE REHABILITATION CENTRE
PORTLAND, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 100
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 November 4, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,131,733 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $113,886 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,017,847 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,454,927 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,562,920 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $157,282 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,720,202 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,720,202 (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 | 100 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 36,600 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,549 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 22,475 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,273 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 31,297 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 40 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,498.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 447.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1441879, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,267,518 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$259,783 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,527,301 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,358,790 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,168,511 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,073 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,178,584 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,178,584 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,213 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 67.84 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,472.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 481.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395363, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 4, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,385,129 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $276,140 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,108,989 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,472,316 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $636,673 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$71,880 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $564,793 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $564,793 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,086 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,636.78 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 401.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1360972, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 20, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,651,819 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $255,767 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,396,052 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,301,521 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $94,531 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $44,869 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $139,400 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $139,400 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,898 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,105.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 277.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332975, 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 May 4, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,292,118 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $125,038 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,167,080 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,315,968 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$148,888 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $776,010 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $627,122 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $627,122 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,141 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.15 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 852 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 213.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1315283, 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 August 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,722,906 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $366,377 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,356,529 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,081,292 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $275,237 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $56,864 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $332,101 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $332,101 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,277 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 767.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 217.54 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1292527, 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 August 15, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,742,165 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $394,258 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,347,907 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,109,202 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $238,705 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$145,904 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $92,801 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $92,801 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,565 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,570.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 250.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240924, 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 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,222,384 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $598,556 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,623,828 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,378,777 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $245,051 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $188,778 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $433,829 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $433,829 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,121 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 100 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 873.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 221.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207927, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended December 31, 2016
Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 4, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,584,257 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $729,087 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,855,170 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,763,700 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $91,470 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$291 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $91,179 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $91,179 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,771 | 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 | 45.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,788.56 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 385.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1172099, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 12, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,747,100 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $907,345 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,839,755 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,297,906 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $541,849 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,765 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $544,614 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $544,614 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,598 | 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 | 68.81 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 957.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 294.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1140989, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,505,275 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,014,565 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,490,710 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,505,299 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$14,589 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,040 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$8,549 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$8,549 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,961 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 127.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 791.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 357.63 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104501, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,756,208 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,129,078 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,627,130 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,247,237 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $379,893 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,570 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $387,463 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $387,463 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,846 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 85 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 92.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 699.57 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 292.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1073776, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,476,860 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $974,804 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,502,056 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,162,717 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $339,339 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,605 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $347,944 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $347,944 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,550 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 74 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 147.9 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 762.21 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 372.3 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046981, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for November 1, 2011 to December 31, 2011 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $1,325,481 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $265,155 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $1,060,326 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $953,549 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $106,777 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,473 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $109,250 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $109,250 (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 | 112 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 4,792 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 21 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 931.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 228.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016934, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 4, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,799,984 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,623,410 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $176,574 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $19,670 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $196,244 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,396 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 105 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 714.25 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 308.53 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428641, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 13, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,002,198 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,574,047 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $428,151 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,444 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $438,595 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,839 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 135 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 40.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 367.61 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 243.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 403484, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 5, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,770,281 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,879,686 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$109,405 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,404 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$98,001 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,962 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 154 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 341.4 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 214.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 368894, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for July 1, 2007 to December 31, 2007 — a reporting period of 183 days, not a full year, on form CMS-2540-96, settled, processed by CMS on June 22, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,723,964 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,558,896 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $165,068 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,495 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $169,563 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,528 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.21 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 633.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 284.97 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 346417, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 30, 2008.
None of these figures is carried on this report.
CMS report record 307900, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 16, 2006.
None of these figures is carried on this report.
CMS report record 266518, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 25, 2006.
None of these figures is carried on this report.
CMS report record 250304, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for January 1, 2003 to June 30, 2003 — a reporting period of 180 days, not a full year, on form CMS-2540-96, settled, processed by CMS on August 24, 2005.
None of these figures is carried on this report.
CMS report record 231555, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 28, 2003.
None of these figures is carried on this report.
CMS report record 161624, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 30, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,280,719 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,362,043 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$81,324 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$7,306 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$88,630 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,475 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 47 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 171.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 600 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 414.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 146522, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 5, 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,195,077 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,233,623 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$38,546 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,049 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$35,497 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,868 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 287.94 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14357, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 13, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,083,431 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,292,783 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$209,352 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,169 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$207,183 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,062 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 75 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 267.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14355, read from the public cost report file SNFFY1999.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,581,640 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,608,306 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$26,666 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $539 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$26,127 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,495 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 94 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.88 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 292.5 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14353, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on September 11, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,611,257 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,651,248 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$39,991 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $476 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$39,515 (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 | 112 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,033 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 69 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 420.77 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14352, 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 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| WITHAM MEMORIAL HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 11/01/2011 |
| HODGSON, MELINDA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/28/2025 |
| MAGNOLIA HEALTH SYSTEMS 55, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/09/2025 |
| MAGNOLIA HEALTH SYSTEMS INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2011 |
| SABRA HEALTH CARE LIMITED PARTNERSHIP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2011 |
| VORMOHR, J. FRANK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/19/2025 |
| WARD, JONATHAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2011 |
| BAYSTON, BRETT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2023 |
| BRAND, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2015 |
| CASTETTER, ANDREA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2023 |
| HAWKINS, CLAUDE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/01/2013 |
| HORNBECKER, MICHAEL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| REAGAN, JULIE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 09/25/2024 |
| BRAVERMAN, KELLY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/01/2021 |
| SELLERS, DANIEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 06/20/2024 |
| REED, MICHAEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/09/2025 |
| HODGSON, MELINDA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/28/2025 |
| MAGNOLIA HEALTH MANAGEMENT XXIV LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2011 |
| REED, STUART | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2011 |
| VORMOHR, J. FRANK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2021 |
Medicare enrollment
As filed (Medicare enrollment ownership), under the enrollment of WITHAM MEMORIAL HOSPITAL (enrollment ID O20120215000654).
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 |
|---|---|---|---|---|---|
| WITHAM MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 11/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| J. FRANK VORMOHR | Individual | ADP OF THE SNF | Not stated in the filing | 12/19/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JONATHAN WARD | Individual | ADP OF THE SNF | Not stated in the filing | 11/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAGNOLIA HEALTH SYSTEMS 55, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 12/9/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| MAGNOLIA HEALTH SYSTEMS INC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| MELINDA HODGSON | Individual | ADP OF THE SNF | Not stated in the filing | 10/28/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SABRA HEALTH CARE LIMITED PARTNERSHIP | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREA CASTETTER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRETT BAYSTON | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CLAUDE A HAWKINS | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JOHN W BRAND | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2015 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE REAGAN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 9/25/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MICHAEL JASON HORNBECKER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL E SELLERS | Individual | CORPORATE OFFICER | Not stated in the filing | 6/20/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KELLY BRAVERMAN | Individual | CORPORATE OFFICER | 100 | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| J. FRANK VORMOHR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MAGNOLIA HEALTH MANAGEMENT XXIV LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | 100 | 11/1/2011 | Private equity company: No Real estate investment trust: No Holding company: No |
| MELINDA HODGSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/28/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STUART B REED | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2011 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- February 1, 2026: GEORGE POGAS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: STEPHEN J BARDOCZI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SABRA HEALTH CARE LIMITED PARTNERSHIP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: J. FRANK VORMOHR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: J. FRANK VORMOHR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MAGNOLIA HEALTH SYSTEMS 55, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANIEL E SELLERS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MELINDA HODGSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MELINDA HODGSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JULIE REAGAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JONATHAN WARD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MAGNOLIA HEALTH SYSTEMS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: STUART B REED (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- May 1, 2024: MICHAEL REED no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: ROSALIND NEU no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JACK JONES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: MICHAEL JASON HORNBECKER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- August 1, 2023: NANCY MORTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: MARGARET MCFRYE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BEVERLY NEWHART no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BRETT BAYSTON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: ANDREA CASTETTER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Recent changes on this record
- February 1, 2026: GEORGE POGAS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: STEPHEN J BARDOCZI no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SABRA HEALTH CARE LIMITED PARTNERSHIP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: J. FRANK VORMOHR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: J. FRANK VORMOHR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MAGNOLIA HEALTH SYSTEMS 55, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since December 9, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANIEL E SELLERS (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 20, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MELINDA HODGSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MELINDA HODGSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since October 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JULIE REAGAN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since September 25, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JONATHAN WARD (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: MAGNOLIA HEALTH SYSTEMS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: STUART B REED (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2011. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- November 4, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 20, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- May 1, 2024: MICHAEL REED no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: ROSALIND NEU no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: JACK JONES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: MICHAEL JASON HORNBECKER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- August 4, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- August 1, 2023: NANCY MORTON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: MARGARET MCFRYE no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BEVERLY NEWHART no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: BRETT BAYSTON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- August 1, 2023: ANDREA CASTETTER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on August 1, 2023; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- September 20, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 4, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- August 10, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 15, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- August 4, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 12, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 25, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- July 28, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 19, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- October 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2012.zip
- August 22, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
- May 4, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- June 13, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- May 5, 2010: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 11, 2025 | June 11, 2025 | 6 | 1 |
| 2 | August 16, 2024 | August 16, 2024 | 6 | 4 |
| 3 | October 30, 2023 | October 30, 2023 | 8 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
20 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 31, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | |
| July 31, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Past Non-Compliance | |
| June 11, 2025 | 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 | No | Deficient, Provider has date of correction | July 7, 2025 |
| June 11, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | July 7, 2025 |
| June 11, 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 | No | Deficient, Provider has date of correction | July 7, 2025 |
| June 11, 2025 | 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 7, 2025 |
| June 11, 2025 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | July 7, 2025 |
| June 11, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | July 7, 2025 |
| April 16, 2025 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Yes | Past Non-Compliance | February 24, 2025 |
| April 16, 2025 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | May 9, 2025 |
| August 16, 2024 | Health | F 0758 | Pharmacy Service Deficiencies | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | No | Deficient, Provider has date of correction | September 13, 2024 |
| August 16, 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 | September 13, 2024 |
| June 13, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | June 27, 2024 |
| October 30, 2023 | 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 | November 17, 2023 |
| October 30, 2023 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 30, 2023 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 30, 2023 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 30, 2023 | Health | F 0728 | Nursing and Physician Services Deficiencies | Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | D | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 30, 2023 | Health | F 0801 | Nutrition and Dietary Deficiencies | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | No | Deficient, Provider has date of correction | November 17, 2023 |
| October 30, 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | November 17, 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 - Corporation |
| Legal Business Name | WITHAM MEMORIAL HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1994-06-30 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Jay |
| Telephone Number | 2607269355 |
| Chain Name | HCF MANAGEMENT INDIANA |
| Chain ID | 252 |
| 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 | 100 |
| Average Number of Residents per Day | 83.2 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 4 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On November 4, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for PERSIMMON RIDGE REHABILITATION CENTRE
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 155526.