Velarion Records

Skilled nursing facility · CMS certification number 155564

MILLER'S MERRY MANOR

MOORESVILLE, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 98

Download this facility’s record (CSV)

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$9,635,810CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$844,734CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,791,076CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,592,146CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$801,070CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$34,201CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$766,869CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$766,869 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components35,868CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,837CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days14,469CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days6,397CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components22,703CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges63CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges34CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges151CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components248CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.16CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days425.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days91.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433611, 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 23, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$9,200,114CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$867,622CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,332,492CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,515,988CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,183,496CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$15,311CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,168,185CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,168,185 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,656CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components279CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days22.98CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days471.87CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days77.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395492, 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 September 20, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$8,075,293CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$525,105CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,550,188CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,129,535CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,579,347CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$17,439CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,561,908CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,561,908 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,553CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components286CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days26.45CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days536.56CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days78.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365055, 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 December 30, 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$8,135,602CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$989,210CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,146,392CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$9,134,069CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,987,677CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$59,950CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,927,727CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,927,727 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,283CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components253CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.48CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days424.33CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days88.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339281, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 22, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$8,391,306CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$709,626CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,681,680CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,746,696CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,065,016CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$887,721CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$177,295CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$177,295 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,451CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components233CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days385.75CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days96.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305081, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended December 31, 2019

Cost report for January 1, 2019 to December 31, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on April 14, 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$8,806,080CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,168,337CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,637,743CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,727,457CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$89,714CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,662CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$63,052CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$63,052 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,830CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components254CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days29.59CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days480.53CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days89.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1282223, 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 23, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$7,783,666CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,106,855CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,676,811CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,326,813CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$650,002CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$40,300CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$609,702CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$609,702 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components21,586CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components249CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.51CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days514.11CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days86.69CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241955, 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$7,091,443CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$799,952CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,291,491CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,639,886CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$348,395CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$22,718CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$325,677CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$325,677 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,590CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components209CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.97CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days465.72CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days98.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209814, 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 3, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$5,993,802CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$458,847CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,534,955CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,406,134CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$871,179CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$18,274CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$889,453CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$889,453 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,680CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components180CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.69CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days457.34CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days103.78CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171745, 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 8, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$8,075,280CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$838,260CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,237,020CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,190,611CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$46,409CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$51,340CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$97,749CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $97,749 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,969CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components211CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days521.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days108.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140062, 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 29, 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$8,633,286CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$915,565CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,717,721CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,551,053CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$166,668CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$33,922CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$200,590CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $200,590 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,524CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components232CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days31.93CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days701.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days110.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105879, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for June 1, 2013 to December 31, 2013 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 15, 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$5,032,879CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$529,030CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,503,849CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,588,095CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$84,246CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,185CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$71,061CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$71,061 (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 components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,915CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components151CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.9CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days620.47CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days105.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1076212, 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$7,019,698CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$766,175CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,253,523CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,016,453CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$237,070CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$34,198CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$271,268CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $271,268 (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 2012
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,989CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components241CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.65CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days402.79CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days107.84CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1027456, 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 March 8, 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$6,596,930CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,840,371CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$756,559CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$41,526CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $798,085 (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 components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,885CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components250CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.03CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days491.72CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days103.54CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434262, 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$5,907,523CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,617,703CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$289,820CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$31,442CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $321,262 (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 components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,507CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components238CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.39CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,158.54CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days107.17CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 423069, 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$5,917,898CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,504,538CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$413,360CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$27,341CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $440,701 (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 components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,445CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components249CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days34.52CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days909.29CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days102.19CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 393302, 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 26, 2009.

None of these figures is carried on this report.

CMS report record 358304, 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 January 28, 2009.

None of these figures is carried on this report.

CMS report record 332762, 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 January 30, 2008.

None of these figures is carried on this report.

CMS report record 301364, 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 February 1, 2007.

None of these figures is carried on this report.

CMS report record 271547, 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 November 3, 2005.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$5,350,749CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,805,585CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$545,164CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$54,044CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $599,208 (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 2004
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,960CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components117CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days78.55CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days909CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days281.71CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 236133, 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 March 11, 2005.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$4,847,008CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,630,930CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$216,078CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$59,222CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $275,300 (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 2003
FigureAs filedWhere it comes from
Total facility beds, all components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,581CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components260CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days42.59CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days216.8CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days121.47CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 210664, 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$4,703,954CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,430,006CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$273,948CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$71,521CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $345,469 (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 components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,624CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components142CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.44CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days883.61CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days222.7CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 161892, 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 125413, 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 8, 2001.

Net income: $487,323 (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 14596, 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$3,368,954CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,352,986CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$15,968CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$66,757CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $82,725 (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 components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components30,250CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components117CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54.81CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days258.55CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 14595, 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$4,025,407CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,782,708CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$242,699CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$77,935CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $320,634 (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 components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components30,816CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components62CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days90.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days497.03CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 158193, 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 4, 2003.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$3,935,464CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,771,504CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$163,960CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$19,596CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$15,730CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $167,826 (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 components98CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components31,242CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components156CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days200.27CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 155976, 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$3,261,070CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,504,859CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$243,789CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$23,765CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$3,600CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$216,424 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,646CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components167CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.91CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days195.49CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 153830, 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 06/01/2013
LUMENT FINANCE TRUST INC5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 11/01/2014
MILLER'S MERRY MANOR MOORESVILLE LLC5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 06/01/2013
MMM-INVEST INC5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 06/01/2013
ANDRES, ANTHONYADP OF THE SNFIndividualNOT APPLICABLEsince 11/26/2025
FORVIS MAZARS LLPADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2023
JOHNSON MEMORIAL HOSPITALADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2013
MILLER'S HEALTH SYSTEMS INCADP OF THE SNFOrganizationNOT APPLICABLEsince 06/01/2013
BOYLE, PATRICKCORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
DUNKLE, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/01/2019
HAUG, LORICORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
ROBINSON, TINACORPORATE DIRECTORIndividualNOT APPLICABLEsince 01/01/2025
DUNKLE, DAVIDCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/01/2019
BOYLE, PATRICKINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 11/26/2025
ANDRES, ANTHONYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
BOYLE, PATRICKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
DECOLA, ROBERTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
DUNKLE, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2019
FORVIS MAZARS LLPOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2023
HAUG, LORIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
JOHNSON MEMORIAL HOSPITALOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2013
MILLER'S HEALTH SYSTEMS INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2013
PETERSON, NATALIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
ROBINSON, TINAOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2025
THERACARE INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 01/01/2025

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of JOHNSON MEMORIAL HOSPITAL (enrollment ID O20151208002457).

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 INTEREST1006/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
LUMENT FINANCE TRUST INCOrganization5% OR GREATER MORTGAGE INTEREST9511/1/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
MILLER'S MERRY MANOR MOORESVILLE LLCOrganization5% OR GREATER MORTGAGE INTEREST1006/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: Yes
MMM-INVEST INCOrganization5% OR GREATER MORTGAGE INTEREST1006/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: Yes
ANTHONY A ANDRESIndividualADP OF THE SNFNot stated in the filing11/26/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
FORVIS MAZARS LLPOrganizationADP OF THE SNFNot stated in the filing6/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
JOHNSON MEMORIAL HOSPITALOrganizationADP OF THE SNFNot stated in the filing6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
MILLER'S HEALTH SYSTEMS INCOrganizationADP OF THE SNFNot stated in the filing6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
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
LORI A HAUGIndividualCORPORATE DIRECTORNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PATRICK H BOYLEIndividualCORPORATE DIRECTORNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TINA ROBINSONIndividualCORPORATE DIRECTORNot stated in the filing1/1/2025
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
ANTHONY A ANDRESIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
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
FORVIS MAZARS LLPOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2023
Private equity company: No
Real estate investment trust: No
Holding company: No
JOHNSON MEMORIAL HOSPITALOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
LORI A HAUGIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
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 filing6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
NATALIE PETERSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
PATRICK H BOYLEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ROBERT J DECOLAIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THERACARE INCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: No
Real estate investment trust: No
Holding company: No
TINA ROBINSONIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing1/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1February 13, 2026February 13, 202601
2December 20, 2024December 20, 202411
3February 23, 2024February 23, 202421

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

Deficiencies cited

4 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
December 20, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correctionDecember 23, 2024
February 23, 2024HealthF 0584Resident Rights DeficienciesHonor 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.DNoDeficient, Provider has date of correctionFebruary 26, 2024
February 23, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correctionFebruary 26, 2024
August 2, 2023HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DYesDeficient, Provider has date of correctionAugust 3, 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

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
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/ParishMorgan
Telephone Number3178316272
Chain NameMILLER'S MERRY MANOR
Chain ID352
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds98
Average Number of Residents per Day60.6
Overall Rating5
Health Inspection Rating5
QM Rating4
Long-Stay QM Rating5
Short-Stay QM Rating3
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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On August 28, 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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