Skilled nursing facility · CMS certification number 155635
GRACE VILLAGE HEALTH CARE FACILITY
WINONA LAKE, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 71
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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,814,855 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $347,721 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,467,134 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,682,691 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$215,557 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,539 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$173,018 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $139,343 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 62,586 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,253 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,719 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 24,484 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 35,456 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 97 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 2 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 55 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 154 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 12.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 4,859.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 230.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433631, 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 27, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,827,299 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $684,834 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,142,465 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,760,308 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$617,843 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $67,656 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$550,187 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $82,776 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 37,217 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 962.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 263.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1396101, read from the public cost report file SNF10FY2023.zip.
Fiscal year 2022, ended December 31, 2022
Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 23, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,080,586 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$97,124 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,177,710 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,120,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $56,838 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $395,459 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $452,297 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $161,341 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 36,578 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 220 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 259.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 166.26 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362907, 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 August 31, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,816,637 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $130,443 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,686,194 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,190,547 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$504,353 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $671,256 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $166,903 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $166,903 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 35,880 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 207 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.34 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 331.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 173.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1330944, 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 September 30, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,712,833 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $237,197 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,475,636 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,437,919 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$962,283 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,170,019 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $207,736 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $207,736 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 38,837 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 259 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 262.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 149.95 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301605, 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 July 21, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,428,369 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $672,456 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,755,913 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,310,138 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$554,225 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $797,926 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $243,701 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $243,701 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 40,929 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 242 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 498.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 169.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260797, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 12, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,117,947 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $825,650 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,292,297 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,051,161 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $241,136 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $109,814 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $350,950 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $288,433 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 42,728 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 327 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 386.29 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 130.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1236659, 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 19, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,888,500 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $632,717 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,255,783 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $10,032,714 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$776,931 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,146,910 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $369,979 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $369,979 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,537 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 319 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 319.76 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 136.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1198886, 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 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,103,498 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $820,921 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,282,577 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,796,054 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $486,523 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $153,783 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $640,306 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $325,440 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,135 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 268 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 545.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 172.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1168582, 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 July 25, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,862,760 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,264,725 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,598,035 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,986,998 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $611,037 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $139,363 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $750,400 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $313,652 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,119 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 351 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 823.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 142.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1135631, 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 June 19, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,609,216 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $963,342 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,645,874 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,484,306 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $161,568 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $152,380 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $313,948 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $313,948 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 47,916 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 292 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.01 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 777.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 164.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1098727, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for May 1, 2013 to December 31, 2013 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 31, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,953,761 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,040,509 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,913,252 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,848,401 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $64,851 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,451 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $78,302 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $78,302 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,980 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 230 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 26.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 269.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074432, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 24, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,162,404 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,768,100 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,394,304 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,717,121 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,322,817 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $887,397 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$435,420 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$435,420 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 46,446 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 317 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 617.27 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1023385, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,724,758 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,207,513 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$482,755 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $513,797 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $31,042 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,997 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 265 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 31.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 541 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 177.35 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433052, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 26, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,200,787 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,845,201 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$644,414 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $637,826 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$6,588 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 46,591 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 216 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 530.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 215.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418368, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 5, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $8,033,195 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,631,257 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$598,062 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,268,771 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $5,670,709 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,350 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 221 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.5 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 346.22 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 214.25 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384807, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $7,730,050 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,249,555 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$519,505 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$2,444 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$521,949 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 47,426 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 168 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 842.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 282.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 354504, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 27, 2008.
None of these figures is carried on this report.
CMS report record 325060, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 13, 2007.
None of these figures is carried on this report.
CMS report record 293430, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 17, 2006.
None of these figures is carried on this report.
CMS report record 261458, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for July 1, 2003 to June 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on November 4, 2005.
None of these figures is carried on this report.
CMS report record 236188, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended June 30, 2003
Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2005.
None of these figures is carried on this report.
CMS report record 204654, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended June 30, 2002
Cost report for July 1, 2001 to June 30, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 7, 2003.
None of these figures is carried on this report.
CMS report record 143649, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended June 30, 2001
Cost report for July 1, 2000 to June 30, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2003.
Net income: −$79,301 (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 114453, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended June 30, 2000
Cost report for July 1, 1999 to June 30, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on December 27, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,053,297 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,557,936 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$504,639 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $255,632 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$249,007 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,753 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 76 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 844.31 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 430.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15038, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended June 30, 1999
Cost report for July 1, 1998 to June 30, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 24, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,025,799 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,372,167 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$346,368 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $272,311 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$74,057 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,487 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 99 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 34.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 328.15 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15036, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended June 30, 1998
Cost report for August 11, 1997 to June 30, 1998 — a reporting period of 323 days, on form CMS-2540-96, settled, processed by CMS on October 3, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,698,629 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,067,250 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$368,621 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $213,285 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$155,336 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 98 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,038 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 417.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 15034, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated September 1, 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| WOODLAWN HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 05/01/2013 |
| GRACE VILLAGE HEALTH CARE FACILITY, INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/14/1978 |
| OFFERLE, ANDREW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| THE ACCOUNTING GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/15/2025 |
| WILLIAMS, JAROD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2024 |
| WOODLAWN HOSPITAL | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/28/2025 |
| DAMON, STEVEN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/24/2025 |
| HALL, JOHN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/24/2025 |
| MCCOLLOM, MARK | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/24/2025 |
| MCKINNISS, MICHAEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/06/2025 |
| PIERCE, JENNIFER | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/24/2025 |
| ROBBINS, DALE | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/24/2025 |
| SNYDER, BEN | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/24/2025 |
| STOCKDALE, WILLIAM | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/24/2025 |
| WEIDEMAN II, ROGER | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/24/2025 |
| HEYDE, ALISON | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/01/2019 |
| JOHNSON, TERRI | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/13/2022 |
| MELLINGER, GREGORY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/13/2022 |
| ROGERS, BRADLEY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/26/2026 |
| WEBB, HARRY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 10/15/2023 |
| GRACE VILLAGE HEALTH CARE FACILITY, INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/01/2013 |
| HALL, GLENN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2013 |
| KIMBRELL, JUSTIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2013 |
| KOONTZ, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2013 |
| OFFERLE, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| ROGERS, BRADLEY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/26/2026 |
| SCHWOB, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2013 |
| WILLIAMS, JAROD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2024 |
| BODE, GLEN | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 12/09/2022 |
| CHUDZYNSKI, KENDRA | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 10/15/2024 |
| HEYDE, ALISON | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 09/09/2019 |
| JOHNSON, TERRI | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 06/13/2022 |
| MELLINGER, GREGORY | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 06/13/2022 |
| WEBB, HARRY | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 10/15/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WOODLAWN HOSPITAL (enrollment ID O20130731000754).
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| WOODLAWN HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 5/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW OFFERLE | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GRACE VILLAGE HEALTH CARE FACILITY, INC. | Organization | ADP OF THE SNF | Not stated in the filing | 9/14/1978 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAROD WILLIAMS | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THE ACCOUNTING GROUP LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| WOODLAWN HOSPITAL | Organization | ADP OF THE SNF | Not stated in the filing | 5/28/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| ALISON M HEYDE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 9/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY LEE MELLINGER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/13/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HARRY WEBB | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 10/15/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TERRI L JOHNSON | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 6/13/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALAN JAY FISHER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/13/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANDREW OFFERLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID KOONTZ | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GLENN HALL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GRACE VILLAGE HEALTH CARE FACILITY, INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | 0 | 5/1/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| JAROD WILLIAMS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUSTIN KIMBRELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK SCHWOB | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2013 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ALISON M HEYDE | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 9/9/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GLEN W BODE | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 12/9/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGORY LEE MELLINGER | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 6/13/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HARRY WEBB | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 10/15/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KENDRA CHUDZYNSKI | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 10/15/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TERRI L JOHNSON | Individual | TRUSTEE OF THE SNF | Not stated in the filing | 6/13/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- September 1, 2026: FISHER, ALAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: ROGERS, BRADLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: ROGERS, BRADLEY appears as MANAGING CONTROL - GOVERNING BODY in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2025: GREGORY LEE MELLINGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SONDREA HAMILTON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: STEVEN D FURNIVALL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NANCY J DAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TRAVIS P ALBRIGHT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TERRI L JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ALAN JAY FISHER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ALISON M HEYDE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GRACE VILLAGE HEALTH CARE FACILITY, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 14, 1978. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KENDRA CHUDZYNSKI (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GLEN W BODE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 9, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: THE ACCOUNTING GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JAROD WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JAROD WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GLENN HALL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GREGORY LEE MELLINGER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GREGORY LEE MELLINGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAVID KOONTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ANDREW OFFERLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ANDREW OFFERLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HARRY WEBB (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 15, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HARRY WEBB (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 15, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WOODLAWN HOSPITAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARK SCHWOB (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JUSTIN KIMBRELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TERRI L JOHNSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TERRI L JOHNSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ALAN JAY FISHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ALISON M HEYDE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 9, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ALISON M HEYDE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- May 1, 2025: JAMES STRAETER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- February 15, 2023: GRACE VILLAGE HEALTH CARE FACILITY, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- October 31, 2022: RICHARD E BELCHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PAULA D MCKINNEY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: GREGORY LEE MELLINGER (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: TRAVIS P ALBRIGHT (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: TERRI L JOHNSON (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: ALAN JAY FISHER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on October 31, 2022; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- September 1, 2026: FISHER, ALAN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: ROGERS, BRADLEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2026: ROGERS, BRADLEY appears as MANAGING CONTROL - GOVERNING BODY in the Care Compare ownership file. NH_Ownership_Sep2026_2.csv
- September 1, 2025: GREGORY LEE MELLINGER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: SONDREA HAMILTON no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: STEVEN D FURNIVALL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: NANCY J DAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TRAVIS P ALBRIGHT no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TERRI L JOHNSON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ALAN JAY FISHER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ALISON M HEYDE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GRACE VILLAGE HEALTH CARE FACILITY, INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 14, 1978. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: KENDRA CHUDZYNSKI (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 15, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GLEN W BODE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since December 9, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: THE ACCOUNTING GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JAROD WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JAROD WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GLENN HALL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GREGORY LEE MELLINGER (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: GREGORY LEE MELLINGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: DAVID KOONTZ (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ANDREW OFFERLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ANDREW OFFERLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HARRY WEBB (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 15, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: HARRY WEBB (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since October 15, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: WOODLAWN HOSPITAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since May 28, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: MARK SCHWOB (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: JUSTIN KIMBRELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since November 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TERRI L JOHNSON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: TERRI L JOHNSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ALAN JAY FISHER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since June 13, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ALISON M HEYDE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 9, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- September 1, 2025: ALISON M HEYDE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on September 1, 2025; associated with this enrollment since September 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-09-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- May 1, 2025: JAMES STRAETER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-05-01.csv
- September 27, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 23, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- February 15, 2023: GRACE VILLAGE HEALTH CARE FACILITY, INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 15, 2023; associated with this enrollment since May 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- October 31, 2022: RICHARD E BELCHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- October 31, 2022: PAULA D MCKINNEY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | March 24, 2025 | March 24, 2025 | 2 | 13 |
| 2 | May 24, 2024 | May 24, 2024 | 1 | 14 |
| 3 | March 31, 2023 | March 31, 2023 | 5 | 17 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| March 24, 2025 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | No | Deficient, Provider has date of correction | April 14, 2025 |
| March 24, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | April 14, 2025 |
| May 24, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | June 20, 2024 |
| March 31, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 31, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 31, 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 31, 2023 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
| March 31, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | April 26, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - County |
| Legal Business Name | WOODLAWN HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1997-08-11 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | N |
| County/Parish | Kosciusko |
| Telephone Number | 5743726100 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 71 |
| Average Number of Residents per Day | 54.9 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 2 |
| Long-Stay QM Rating | 3 |
| Short-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on GRACE VILLAGE HEALTH CARE FACILITY: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for GRACE VILLAGE HEALTH CARE FACILITY
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Indiana at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 155635.