Velarion Records

Skilled nursing facility · CMS certification number 155556

WATERS OF TIPTON SKILLED NURSING FACILITY, THE

TIPTON, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 150

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.

CMS lists this facility as a Special Focus Facility candidate (Care Compare Special Focus Status: SFF Candidate)

In Care Compare’s provider information: Penalties: 3 · Fines: 2 · Fines, total amount: $20,494.00 · Payment denials: 1. The most recent penalty on file: March 26, 2026, Payment Denial. 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 5, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$12,361,955CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$972,834CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,389,121CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,964,337CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,424,784CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$869CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,425,653CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,425,653 (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%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components54,900CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days3,470CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days16,548CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days12,526CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components32,544CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges67CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges4CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges9CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components80CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.79CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days4,137CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days406.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1441937, 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 February 11, 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$14,252,145CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$723,140CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,529,005CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$10,538,798CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$2,990,207CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$488CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,990,695CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,990,695 (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%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,236CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components229CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days65.69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days477.24CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days158.24CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1403481, 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.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$11,969,118CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$249,165CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,719,953CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,113,265CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$393,312CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$23,773CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$369,539CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$369,539 (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%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components35,460CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components300CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.19CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days273.46CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days118.2CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1389889, 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 November 23, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$12,490,053CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$420,014CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,070,039CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,357,707CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,287,668CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$258,400CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,029,268CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,029,268 (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%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components36,594CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components222CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.01CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days728.89CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days164.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1336719, 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 13, 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$14,044,846CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$335,134CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,379,980CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,819,913CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$560,067CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,264,024CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,824,091CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,824,091 (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%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components41,256CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components230CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days61.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days807.88CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days179.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1315971, 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 September 17, 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$15,005,505CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$983,734CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,021,771CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,638,430CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$383,341CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$123,629CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$506,970CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $506,970 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components46,419CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components304CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.01CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days735.97CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days152.69CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1300451, 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 21, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$14,948,332CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$774,589CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$14,173,743CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$13,065,777CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,107,966CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$110,254CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,218,220CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,218,220 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components48,449CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components240CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days666.82CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days201.87CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241531, 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.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$14,430,537CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,150,809CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$13,279,728CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$12,341,362CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$938,366CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$136,517CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,074,883CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,074,883 (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%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components49,705CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components243CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days818.83CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days204.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209812, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended December 31, 2016

Cost report for January 1, 2016 to December 31, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on July 28, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$13,238,542CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$965,709CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$12,272,833CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,648,896CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$623,937CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$49,771CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$673,708CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $673,708 (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%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components46,177CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components251CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days621.11CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days183.97CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171115, 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 3, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$12,668,881CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$794,406CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,874,475CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,376,621CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$497,854CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$63,306CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$561,160CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $561,160 (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%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components45,345CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components244CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days497.61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days185.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1139452, 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 28, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$12,519,878CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$575,322CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$11,944,556CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$11,085,779CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$858,777CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$53,075CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$911,852CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $911,852 (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%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components43,827CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components234CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.22CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days828.61CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days187.29CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105744, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for March 1, 2013 to December 31, 2013 — a reporting period of 305 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$10,660,061CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$534,500CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$10,125,561CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,721,969CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,403,592CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$49,322CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,452,914CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,452,914 (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%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components38,663CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components205CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days56.49CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days586.84CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days188.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1075548, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended September 30, 2012

Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on April 19, 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$9,939,107CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$172,657CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,766,450CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,693,306CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$73,144CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$84,351CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$157,495CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $157,495 (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%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components47,842CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components220CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.1CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days547.84CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days217.46CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1027455, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended September 30, 2011

Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 19, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$9,922,993CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$9,268,248CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$654,745CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$80,045CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $734,790 (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.

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components46,988CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components228CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.7CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days672.04CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days206.09CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434443, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended September 30, 2010

Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 18, 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$8,765,137CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,656,363CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$108,774CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$72,115CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $180,889 (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.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,385CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components205CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.45CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,121CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days216.51CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 423476, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended September 30, 2009

Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 28, 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$8,838,807CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$8,945,725CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$106,918CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$94,840CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$12,078 (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.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components40,860CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components159CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.11CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days918.63CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days256.98CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 393300, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended September 30, 2008

Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 13, 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$5,102,994CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,301,632CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$198,638CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$17,563CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$181,075 (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.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,679CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components69CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days68.22CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,111.17CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days430.13CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 357548, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended September 30, 2007

Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 12, 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,756,246CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,918,767CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$162,521CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$26,138CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$136,383 (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.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,158CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components77CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days96.3CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days750.12CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days378.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 333477, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended September 30, 2006

Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 5, 2008.

None of these figures is carried on this report.

CMS report record 303636, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended September 30, 2005

Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 25, 2007.

None of these figures is carried on this report.

CMS report record 270990, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended September 30, 2004

Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2006.

None of these figures is carried on this report.

CMS report record 240287, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended September 30, 2003

Cost report for October 1, 2002 to September 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 4, 2005.

None of these figures is carried on this report.

CMS report record 229903, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended September 30, 2002

Cost report for October 1, 2001 to September 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 28, 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$3,252,233CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,403,717CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$151,484CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$23,356CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$128,128 (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.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components100CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,686CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components67CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days66.53CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days720.9CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days398.3CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 161890, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended September 30, 2001

Cost report for January 1, 2001 to September 30, 2001 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on February 13, 2003.

None of these figures is carried on this report.

CMS report record 125412, 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 November 9, 2001.

Net income: −$150,294 (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 14547, 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 May 30, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$2,993,733CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,193,965CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$200,232CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$12,853CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$187,379 (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.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components30,396CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components71CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.87CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days428.11CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 14546, read from the public cost report file SNFFY1999.zip.

Fiscal year 1998, ended December 31, 1998

Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on August 28, 2003.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$3,103,664CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,956,668CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$146,996CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$16,483CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $163,479 (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.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components29,133CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components64CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days110.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days455.2CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 158191, read from the public cost report file SNFFY1998.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, reopened, processed by CMS on August 6, 2003.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$3,144,822CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,792,352CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$352,470CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$18,483CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$324CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $371,277 (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.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,060CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components37CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days124.08CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days893.51CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 156167, 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, reopened, processed by CMS on July 28, 2003.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$2,716,690CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,578,001CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$138,689CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$24,220CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$132CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $163,041 (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.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components102CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,240CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components101CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days11.91CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days319.21CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 153828, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
JOHNSON MEMORIAL HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 03/01/2013
JUDAY, PAULACONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 06/01/2015
BERKHOUSE, STEVENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/18/2021
DUNKLE, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/01/2019
BERKHOUSE, STEVENCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/18/2021
DUNKLE, DAVIDCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/01/2019
DUNKLE, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2019
MILLER'S HEALTH SYSTEMS INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 03/01/2013
THE WATERS OF TIPTON SKILLED NURSING FACILITY LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 11/01/2022
DECOLA, ROBERTW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 02/16/2019

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of JOHNSON MEMORIAL HOSPITAL (enrollment ID O20130426000319).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
JOHNSON MEMORIAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1003/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
PAULA JUDAYIndividualCONTRACTED MANAGING EMPLOYEENot stated in the filing6/1/2015
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAVID H DUNKLEIndividualCORPORATE DIRECTORNot stated in the filing3/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAVID H DUNKLEIndividualCORPORATE OFFICERNot stated in the filing3/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEVEN BERKHOUSEIndividualDIRECTORNot stated in the filing10/18/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEVEN BERKHOUSEIndividualOFFICERNot stated in the filing10/18/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DAVID H DUNKLEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing3/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MILLER'S HEALTH SYSTEMS INCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing3/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
THE WATERS OF TIPTON SKILLED NURSING FACILITY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROL10011/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
PATRICK H BOYLEIndividualOTHERNot stated in the filing5/30/2017
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT J DECOLAIndividualW-2 MANAGING EMPLOYEENot stated in the filing2/16/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

  • January 1, 2023: THE WATERS OF TIPTON SKILLED NURSING FACILITY LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv

Recent changes on this record

  • November 5, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • February 11, 2025: 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
  • January 1, 2023: THE WATERS OF TIPTON SKILLED NURSING FACILITY LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
  • November 23, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • May 13, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • September 17, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • August 21, 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
  • July 28, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • August 3, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • July 28, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • August 11, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • April 29, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • April 19, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • April 19, 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
  • January 18, 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • January 28, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • October 13, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • February 12, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • March 5, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • January 25, 2007: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
  • January 20, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
  • August 4, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
  • October 28, 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
  • August 28, 2003: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
  • August 6, 2003: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
  • July 28, 2003: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
  • February 13, 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
  • November 9, 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
  • May 30, 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1March 26, 2026March 26, 2026172
2March 18, 2025March 18, 2025198
3March 8, 2024March 8, 2024106

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

46 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
June 30, 2026HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionJuly 15, 2026
June 30, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correctionJuly 15, 2026
May 27, 2026HealthF 0583Resident Rights DeficienciesKeep residents' personal and medical records private and confidential.DYesDeficient, Provider has date of correctionMay 28, 2026
May 15, 2026HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesPast Non-Compliance
March 26, 2026HealthF 0552Resident Rights DeficienciesEnsure that residents are fully informed and understand their health status, care and treatments.DNoDeficient, Provider has date of correctionApril 15, 2026
March 26, 2026HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correctionApril 15, 2026
March 26, 2026HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DNoDeficient, Provider has date of correctionApril 15, 2026
March 26, 2026HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.DNoDeficient, Provider has date of correctionApril 15, 2026
March 26, 2026HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.ENoDeficient, Provider has date of correctionApril 15, 2026
March 26, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correctionApril 15, 2026
March 26, 2026HealthF 0692Quality of Life and Care DeficienciesProvide enough food/fluids to maintain a resident's health.GNoDeficient, Provider has date of correctionApril 15, 2026
March 26, 2026HealthF 0740Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.DNoDeficient, Provider has date of correctionApril 15, 2026
March 26, 2026HealthF 0761Pharmacy Service DeficienciesEnsure 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.ENoDeficient, Provider has date of correctionMay 28, 2026
March 26, 2026HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.FNoDeficient, Provider has date of correctionApril 15, 2026
March 26, 2026HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.ENoDeficient, Provider has date of correctionApril 15, 2026
March 26, 2026HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionApril 15, 2026
November 12, 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionDecember 1, 2025
July 18, 2025HealthF 0744Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DYesDeficient, Provider has date of correctionAugust 18, 2025
July 18, 2025HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DYesDeficient, Provider has date of correctionAugust 18, 2025
July 18, 2025HealthF 0842Resident Assessment and Care Planning DeficienciesSafeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.DYesDeficient, Provider has date of correctionAugust 18, 2025
June 17, 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correctionJuly 7, 2025
June 17, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionJuly 7, 2025
March 18, 2025HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DNoDeficient, Provider has date of correctionApril 16, 2025
March 18, 2025HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.ENoDeficient, Provider has date of correctionApril 16, 2025
March 18, 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correctionApril 16, 2025
March 18, 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correctionApril 16, 2025
March 18, 2025HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correctionApril 16, 2025
March 18, 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correctionApril 16, 2025
March 18, 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.FNoDeficient, Provider has date of correctionApril 16, 2025
March 18, 2025HealthF 0727Nursing and Physician Services DeficienciesHave a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.DNoDeficient, Provider has date of correctionApril 16, 2025
March 18, 2025HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correctionApril 16, 2025
March 18, 2025HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correctionApril 16, 2025
March 18, 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.DNoDeficient, Provider has date of correctionApril 16, 2025
March 18, 2025HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FNoDeficient, Provider has date of correctionApril 16, 2025
March 18, 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correctionApril 16, 2025
December 31, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DYesDeficient, Provider has date of correctionJanuary 24, 2025
April 29, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correctionMay 29, 2024
March 8, 2024HealthF 0604Freedom from Abuse, Neglect, and Exploitation DeficienciesEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.DNoDeficient, Provider has date of correctionApril 1, 2024
March 8, 2024HealthF 0607Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.DYesDeficient, Provider has date of correctionApril 1, 2024
March 8, 2024HealthF 0697Quality of Life and Care DeficienciesProvide safe, appropriate pain management for a resident who requires such services.DNoDeficient, Provider has date of correctionApril 1, 2024
March 8, 2024HealthF 0761Pharmacy Service DeficienciesEnsure 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.DNoDeficient, Provider has date of correctionApril 1, 2024
March 8, 2024HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FNoDeficient, Provider has date of correctionApril 1, 2024
January 9, 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correctionFebruary 5, 2024
January 9, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correctionFebruary 5, 2024
October 26, 2023HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correctionNovember 27, 2023
October 26, 2023HealthF 0776Administration DeficienciesProvide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.DYesDeficient, Provider has date of correctionNovember 27, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
March 26, 2026Payment DenialApril 25, 202633
January 9, 2024Fine$10,24751304
January 9, 2024Fine$10,24751443

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Individual
Legal Business NameJOHNSON MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services1995-04-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishTipton
Telephone Number7656758791
Chain NameINFINITY HEALTHCARE CONSULTING
Chain ID763
Special Focus StatusSFF Candidate
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds150
Average Number of Residents per Day92.9
Overall Rating1
Health Inspection Rating1
QM Rating3
Long-Stay QM Rating4
Short-Stay QM Rating2
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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