Velarion Records

Skilled nursing facility · CMS certification number 155571

WATERS OF DUNKIRK SKILLED NURSING FACILITY, THE

DUNKIRK, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 46

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: 1 · Fines: 1 · Fines, total amount: $59,240.00 · Payment denials: 0. The most recent penalty on file: March 30, 2026, Fine, $59,240. 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$4,413,986CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$212,562CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,201,424CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,444,312CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$242,888CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$525CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$242,363CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$242,363 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components16,836CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days587CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days8,012CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3,753CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components12,352CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges17CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges1CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges2CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components20CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days34.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days8,012CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days617.6CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433613, 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 6, 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$4,792,822CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$147,001CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,645,821CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,220,624CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$425,197CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$660CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$425,857CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $425,857 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,979CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components100CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.44CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days347.59CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days139.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393942, 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 27, 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$4,530,438CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$64,728CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,595,166CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,157,391CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$437,775CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$12,867CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$450,642CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $450,642 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,814CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components42CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days65.57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,120.3CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days352.71CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365573, 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$4,558,034CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$30,307CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,588,341CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,180,253CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$408,088CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$288,481CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$696,569CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $696,569 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,748CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components40CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days78.58CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days877.92CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days368.7CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1339282, 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 December 1, 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$4,494,617CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$747CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,493,870CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,095,652CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$398,218CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$153,903CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$552,121CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $552,121 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,545CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components41CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days171.67CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,220.22CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days379.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305775, 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 December 8, 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$4,403,684CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$179,713CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,223,971CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,946,690CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$277,281CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$30,154CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$307,435CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $307,435 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,127CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components63CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days50.43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days875.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days240.11CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1275264, 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 12, 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$4,241,752CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$357,586CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,884,166CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,915,557CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$31,391CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,461CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$22,930CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$22,930 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,998CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components72CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,050CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days194.42CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1240419, 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 July 27, 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$4,139,290CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$184,176CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,955,114CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,597,459CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$357,655CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$37,947CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$395,602CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $395,602 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,245CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components71CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days976.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days214.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1203426, 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 20, 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$4,009,177CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$162,818CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,846,359CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,451,897CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$394,462CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$17,480CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$411,942CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $411,942 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,149CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components54CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.26CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days804.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days280.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170146, 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 4, 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$4,088,816CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$176,997CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,911,819CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,495,911CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$415,908CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$15,807CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$431,715CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $431,715 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,409CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components60CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days720.23CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days240.15CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1139724, 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$3,826,376CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$277,490CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,548,886CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,350,737CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$198,149CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,684CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$216,833CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $216,833 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components13,579CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components50CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days52.81CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,594.5CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days271.58CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105745, 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$3,442,901CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$175,544CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,267,357CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,614,866CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$652,491CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$13,705CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$666,196CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $666,196 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,723CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components53CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days39.78CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,032.78CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days221.19CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1075550, 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$2,839,532CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$7,754CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,847,286CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,900,460CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$53,174CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$21,382CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$31,792CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$31,792 (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 components46CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,383CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components43CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days51.52CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days2,244CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days334.49CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1027425, 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$2,685,595CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,757,690CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$72,095CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$24,788CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$47,307 (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 components46CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components14,392CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components25CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days82.21CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days5,470CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days575.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434444, 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 November 21, 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$2,444,787CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,698,930CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$254,143CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$19,283CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$234,860 (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 components46CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components13,630CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components51CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.54CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days938CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days267.25CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 420470, 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$2,383,696CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,498,595CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$114,899CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$20,160CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$94,739 (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 components46CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components14,013CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components33CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54.23CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,735.33CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days424.64CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 393303, 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 14, 2009.

None of these figures is carried on this report.

CMS report record 357746, 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 20, 2009.

None of these figures is carried on this report.

CMS report record 332057, 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 February 20, 2008.

None of these figures is carried on this report.

CMS report record 302659, 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 December 21, 2006.

None of these figures is carried on this report.

CMS report record 269504, 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 26, 2006.

None of these figures is carried on this report.

CMS report record 241313, 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.

None of these figures is carried on this report.

CMS report record 210729, 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 29, 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$1,920,885CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,962,465CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$41,580CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$7,259CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$34,321 (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 components57CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components15,912CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components49CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days104.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days591.9CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days324.73CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 162334, 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.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$1,375,125CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,315,970CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$59,155CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,203CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $63,358 (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 2001
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components11,302CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components23CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days120.18CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,192CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days491.39CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 129468, 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 February 6, 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$1,550,500CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,592,453CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$41,953CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,187CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$36,766 (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 2000
FigureAs filedWhere it comes from
Total facility beds, all components57CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components13,606CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components26CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days154.7CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,087CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days523.31CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 14653, 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$1,453,801CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,553,917CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$100,116CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,446CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$94,670 (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 components58CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,580CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components28CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days64CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days449.29CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 14652, 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$1,531,731CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,761,688CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$229,957CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$4,194CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$225,763 (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 components58CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components12,522CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components29CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days169CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days431.79CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 158194, 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$1,622,848CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,905,807CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$282,959CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,356CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$79CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$277,682 (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 components61CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components14,667CMS-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 days37.91CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days206.58CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 155977, 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$1,868,517CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,904,499CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$35,982CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$9,938CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$3CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$26,041 (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 components61CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,551CMS-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 days41.7CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days331.47CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 153831, 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
MINITO, DANIELLECONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 07/16/2020
WHEELER, TYISHACONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 08/01/2022
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
BERKHOUSE, STEVENOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/18/2021
DUNKLE, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2019
THE WATERS OF DUNKIRK 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 O20130423000337).

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
DANIELLE MINITOIndividualCONTRACTED MANAGING EMPLOYEENot stated in the filing7/16/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TYISHA WHEELERIndividualCONTRACTED MANAGING EMPLOYEE1008/1/2022
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 OFFICER1003/1/2019
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
STEVEN BERKHOUSEIndividualCORPORATE OFFICER10010/18/2021
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
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
STEVEN BERKHOUSEIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing10/18/2021
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
THE WATERS OF DUNKIRK SKILLED NURSING FACILITY LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing11/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
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

Recent changes on this record

  • August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • September 6, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • September 27, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • February 15, 2023: PATRICK H BOYLE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
  • February 15, 2023: MILLER'S HEALTH SYSTEMS INC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
  • February 15, 2023: THE WATERS OF DUNKIRK SKILLED NURSING FACILITY LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since November 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
  • February 15, 2023: TYISHA WHEELER (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since August 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
  • December 30, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • December 1, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • December 8, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • August 12, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • July 27, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • July 20, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • August 4, 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
  • November 5, 2013: 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
  • November 21, 2011: 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 14, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • January 20, 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • February 20, 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • December 21, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
  • January 26, 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
  • March 11, 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
  • October 29, 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 4, 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
  • February 6, 2002: 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 21, 2025March 21, 202588
2May 28, 2024May 28, 202415
3February 20, 2023February 20, 202318

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

Deficiencies cited

10 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
March 30, 2026HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesDeficient, Provider has date of correctionApril 23, 2026
March 30, 2026HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionApril 23, 2026
March 30, 2026HealthF 0740Quality of Life and Care DeficienciesEnsure each resident must receive and the facility must provide necessary behavioral health care and services.EYesDeficient, Provider has date of correctionApril 23, 2026
March 21, 2025HealthF 0577Resident Rights DeficienciesAllow residents to easily view the nursing home's survey results and communicate with advocate agencies.BNoDeficient, Provider has date of correctionApril 17, 2025
March 21, 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.DNoDeficient, Provider has date of correctionApril 17, 2025
March 21, 2025HealthF 0803Nutrition and Dietary DeficienciesEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.FNoDeficient, Provider has date of correctionApril 17, 2025
March 21, 2025HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.ENoDeficient, Provider has date of correctionApril 17, 2025
March 21, 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 17, 2025
December 31, 2024HealthF 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 correctionJanuary 22, 2025
February 20, 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionMarch 15, 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 30, 2026Fine$59,240138121

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 - Corporation
Legal Business NameJOHNSON MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services1995-08-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishJay
Telephone Number7657687537
Chain NameINFINITY HEALTHCARE CONSULTING
Chain ID763
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds46
Average Number of Residents per Day39.8
Overall Rating2
Health Inspection Rating1
QM Rating5
Long-Stay QM Rating5
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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