Skilled nursing facility · CMS certification number 155673

MARKLE HEALTH & REHABILITATION

MARKLE, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 86

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

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

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

Finances, as filed

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

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

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$8,865,992	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$261,509	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,604,483	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,755,692	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$151,209	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$65,393	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$85,816	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$85,816 (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
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	31,476	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	387	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	16,509	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	8,949	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	25,845	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	13	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	55	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	85	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	153	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.77	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	300.16	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	168.92	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433639, 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 October 16, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$8,088,618	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$342,990	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$8,431,608	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,609,294	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$822,314	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$38,495	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$860,809	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $860,809 (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
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,653	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	149	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	31.42	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	369.68	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	172.17	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1396599, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for February 1, 2022 to December 31, 2022 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on September 22, 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$7,042,150	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$87,947	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,130,097	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,516,243	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$613,854	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$166,740	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$780,594	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $780,594 (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
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	22,241	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	147	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	19.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	241.02	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	151.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365249, 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 1, 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$6,140,858	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$240,982	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,899,876	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$7,586,300	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,686,424	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,326	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,668,098	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,668,098 (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
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	21,448	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	114	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.02	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	384.56	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	188.14	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1337061, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended December 31, 2020

Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 20, 2022.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$7,077,405	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$466,616	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,610,789	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,978,611	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$367,822	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$515,128	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$147,306	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $147,306 (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
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,209	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	90	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	29.37	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	470.98	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	280.1	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1316467, 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 1, 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$7,357,901	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$639,735	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,718,166	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,891,268	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$173,102	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$28,249	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$144,853	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$144,853 (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
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,205	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	139	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	28.23	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	341.15	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	195.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274561, 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 19, 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$7,183,632	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$780,421	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,403,211	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,639,585	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$236,374	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$44,677	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$191,697	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$191,697 (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
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,208	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	156	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	18.21	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	284.9	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	174.41	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1237644, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended December 31, 2017

Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$7,175,813	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$757,666	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,418,147	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,750,707	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$332,560	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$52,845	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$279,715	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$279,715 (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 2017
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,283	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	106	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	39.24	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	752.43	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	266.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1207464, 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 18, 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$8,217,255	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,814,976	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,402,279	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,365,106	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$37,173	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,879	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$46,052	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $46,052 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,997	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	184	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	37.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	236.91	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	146.72	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169813, 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
Figure	As filed	Where it comes from
Total patient revenue	$8,509,622	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$2,155,969	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,353,653	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,291,727	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$61,926	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$13,306	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$75,232	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $75,232 (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
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,685	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	183	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	77.89	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	255.83	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	145.82	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1139729, 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 24, 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$8,008,983	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,450,345	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,558,638	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,412,514	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$146,124	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$16,127	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$162,251	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $162,251 (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
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	28,771	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	176	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	35.58	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	163.47	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1101689, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended December 31, 2013

Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$7,244,460	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,456,434	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,788,026	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,797,465	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$9,439	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$15,936	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$6,497	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $6,497 (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
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,521	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	143	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.92	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	185.46	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1075555, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended December 31, 2012

Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 19, 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$6,918,285	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,234,964	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,683,321	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,737,896	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$54,575	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$18,282	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$36,293	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$36,293 (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
Figure	As filed	Where it comes from
Total facility beds, all components	86	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	27,958	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	122	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	49.9	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	229.16	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046983, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended December 31, 2011

Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$6,101,042	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,127,350	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,973,692	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,116,196	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$142,504	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$19,430	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$123,074	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$123,074 (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 2011
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,677	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	109	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.86	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	235.57	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1016961, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended December 31, 2010

Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 17, 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,902,566	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,913,989	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$11,423	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$18,428	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $7,005 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,498	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	122	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	60.5	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	217.2	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 427192, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended December 31, 2009

Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 6, 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,678,318	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,645,142	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$33,176	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$21,355	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $54,531 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	25,984	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	156	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	36.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	166.56	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 402189, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended December 31, 2008

Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 25, 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,811,035	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,281,362	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$470,327	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$17,414	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$452,913 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	22,670	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	162	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	37.01	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	139.94	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 366541, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended December 31, 2007

Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2009.

None of these figures is carried on this report.

CMS report record 335549, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended September 30, 2006

Cost report for January 1, 2006 to September 30, 2006 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on March 5, 2008.

None of these figures is carried on this report.

CMS report record 303639, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended December 31, 2005

Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on November 22, 2006.

None of these figures is carried on this report.

CMS report record 266868, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended December 31, 2004

Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on May 25, 2006.

None of these figures is carried on this report.

CMS report record 250307, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended November 30, 2003

Cost report for November 1, 2002 to November 30, 2003 — a reporting period of 394 days, on form CMS-2540-96, settled, processed by CMS on August 24, 2005.

None of these figures is carried on this report.

CMS report record 231557, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended October 31, 2002

Cost report for November 1, 2001 to October 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 27, 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$3,661,701	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$3,516,393	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$145,308	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$11,304	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $156,612 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	26,599	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	70.22	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	349.99	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 173735, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended April 30, 2001

Cost report for January 1, 2001 to April 30, 2001 — a reporting period of 119 days, not a full year, on form CMS-2540-96, settled, processed by CMS on April 18, 2005.

None of these figures is carried on this report.

CMS report record 214032, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended December 31, 2000

Cost report for February 1, 2000 to December 31, 2000 — a reporting period of 334 days, on form CMS-2540-96, settled, processed by CMS on January 29, 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$1,700,389	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,164,798	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$464,409	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$2,439	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$461,970 (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
Figure	As filed	Where it comes from
Total facility beds, all components	100	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	16,554	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	34	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	97.75	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	486.88	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 15144, read from the public cost report file SNFFY2000.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 manager	Role	Type	Ownership percentage	Association
HENRY COUNTY MEMORIAL HOSPITAL	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 02/01/2022
AMERICAN SENIOR COMMUNITIES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 03/24/2025
DICE, MARK	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2023
HENRY COUNTY MEMORIAL HOSPITAL	ADP OF THE SNF	Organization	NOT APPLICABLE	since 05/07/2025
MOORE, NICOLE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/25/2025
SHANE, ANDREW	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2023
VAN CAMP, STEVEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/01/2023
WILLIAMS, LLOYD	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/24/2025
RING, BRIAN	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 02/01/2022
CHIES, STEVEN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/01/2022
DYNES, SHELDON	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2013
JACKSON, BLAKE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/01/2022
JACKSON, ETHAN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/01/2022
JACKSON, MARK	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/01/2022
JACKSON, MICHAEL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 05/14/2024
JACKSON, WESSLEY	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/01/2022
JUSTICE, DAVID	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/01/2022
KELSEY, DONNA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 07/18/2024
PIDGEON, JOHN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2013
SHORE, MARION	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2013
STITLE, STEPHEN	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/01/2022
WARE, DEBORAH	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 08/27/2021
WRIGHT, THERESSA	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 02/01/2022
AMERICAN SENIOR COMMUNITIES LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 02/01/2022
DICE, MARK	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2023
FOSTER, BRITTNEY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/01/2024
MOORE, NICOLE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/05/2023
RING, BRIAN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2022
SHANE, ANDREW	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2023
VAN CAMP, STEVEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2023
WILLIAMS, LLOYD	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 02/01/2022
DYNES, SHELDON	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2013
PIDGEON, JOHN	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2013
SHORE, MARION	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 01/01/2013
WARE, DEBORAH	TRUSTEE OF THE SNF	Individual	NOT APPLICABLE	since 08/27/2021

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of HENRY COUNTY MEMORIAL HOSPITAL (enrollment ID O20220505000290).

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
HENRY COUNTY MEMORIAL HOSPITAL	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	2/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
AMERICAN SENIOR COMMUNITIES LLC	Organization	ADP OF THE SNF	Not stated in the filing	3/24/2025	Private equity company: No Real estate investment trust: No Holding company: No
ANDREW SHANE	Individual	ADP OF THE SNF	Not stated in the filing	6/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
HENRY COUNTY MEMORIAL HOSPITAL	Organization	ADP OF THE SNF	Not stated in the filing	5/7/2025	Private equity company: No Real estate investment trust: No Holding company: No
LLOYD WILLIAMS	Individual	ADP OF THE SNF	Not stated in the filing	3/24/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARK DICE	Individual	ADP OF THE SNF	Not stated in the filing	6/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
NICOLE MOORE	Individual	ADP OF THE SNF	Not stated in the filing	3/25/2025	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
STEVEN VAN CAMP	Individual	ADP OF THE SNF	Not stated in the filing	6/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
No owner named in the filing	Organization	ADP OF THE SNF	Not stated in the filing	3/24/2025	Private equity company: No Real estate investment trust: No Holding company: No
No owner named in the filing	Organization	ADP OF THE SNF	Not stated in the filing	10/2/2006	Private equity company: No Real estate investment trust: No Holding company: No
BRIAN RING	Individual	CORPORATE OFFICER	0	2/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BLAKE JACKSON	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	2/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DAVID JUSTICE	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	2/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DEBORAH WARE	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	8/27/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DONNA KELSEY	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	7/18/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
ETHAN I JACKSON	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	2/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JOHN D PIDGEON	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	1/1/2013	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARION E SHORE	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	1/1/2013	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARK JACKSON	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	2/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MICHAEL L JACKSON	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	5/14/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
SHELDON L DYNES	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	1/1/2013	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
STEPHEN STITLE	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	2/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
STEVEN CHIES	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	2/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
THERESSA WRIGHT	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	2/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
WESSLEY JACKSON	Individual	MANAGING CONTROL - GOVERNING BODY	Not stated in the filing	2/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
AMERICAN SENIOR COMMUNITIES LLC	Organization	OPERATIONAL/MANAGERIAL CONTROL	100	2/1/2022	Private equity company: No Real estate investment trust: No Holding company: No
ANDREW SHANE	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	2/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BRIAN RING	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	2/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BRITTNEY FOSTER	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	7/1/2024	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LLOYD WILLIAMS	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	2/1/2022	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARK DICE	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	6/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
NICOLE MOORE	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	6/5/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
STEVEN VAN CAMP	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	6/1/2023	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DEBORAH WARE	Individual	TRUSTEE OF THE SNF	Not stated in the filing	8/27/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
JOHN D PIDGEON	Individual	TRUSTEE OF THE SNF	Not stated in the filing	1/1/2013	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
MARION E SHORE	Individual	TRUSTEE OF THE SNF	Not stated in the filing	1/1/2013	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
SHELDON L DYNES	Individual	TRUSTEE OF THE SNF	Not stated in the filing	1/1/2013	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

August 1, 2025: PAUL F JANSSEN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: LISA D MACK no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DAVID R STORDY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DONNA G KELSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: VICKI SHEPHERD no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: SHELDON L DYNES (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: SHELDON L DYNES (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: LLOYD WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: LLOYD WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DAVID JUSTICE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: AMERICAN SENIOR COMMUNITIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: ANDREW E SHANE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: ANDREW E SHANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: STEVEN E CHIES (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DEBORAH WARE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DEBORAH WARE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: THERESSA WRIGHT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: HENRY COUNTY MEMORIAL HOSPITAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: BRITTNEY FOSTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: STEPHEN STITLE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: ETHAN JACKSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MARK E DICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MARK E DICE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: STEVEN A VAN CAMP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: WESSLEY JACKSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DONNA G KELSEY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: BLAKE JACKSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: BRIAN RING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: BRIAN RING (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MARION E SHORE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MARION E SHORE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MICHAEL JACKSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MARK A. JACKSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: JOHN D PIDGEON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: JOHN D PIDGEON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: NICOLE MOORE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: NICOLE MOORE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
November 30, 2022: AMERICAN SENIOR COMMUNITIES LLC no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: LISA D MACK no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: DAVID R STORDY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: PAUL T BABCOCK no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: STEVEN A VAN CAMP no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: DONNA G KELSEY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: VICKI SHEPHERD no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: PAUL F JANSSEN (OFFICER) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: AMERICAN SENIOR COMMUNITIES LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: LISA D MACK (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: HENRY COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: DAVID R STORDY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: STEVEN A VAN CAMP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: DONNA G KELSEY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv
November 30, 2022: VICKI SHEPHERD (CONTRACTED MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on November 30, 2022; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2022-11-30.csv

Recent changes on this record

August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
August 1, 2025: PAUL F JANSSEN no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: LISA D MACK no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DAVID R STORDY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DONNA G KELSEY no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: VICKI SHEPHERD no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: SHELDON L DYNES (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: SHELDON L DYNES (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: LLOYD WILLIAMS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: LLOYD WILLIAMS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DAVID JUSTICE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: AMERICAN SENIOR COMMUNITIES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: ANDREW E SHANE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: ANDREW E SHANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: STEVEN E CHIES (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DEBORAH WARE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DEBORAH WARE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since August 27, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: THERESSA WRIGHT (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: HENRY COUNTY MEMORIAL HOSPITAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: BRITTNEY FOSTER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: STEPHEN STITLE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: ETHAN JACKSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MARK E DICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MARK E DICE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: STEVEN A VAN CAMP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: WESSLEY JACKSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: DONNA G KELSEY (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since July 18, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: BLAKE JACKSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: BRIAN RING (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: BRIAN RING (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MARION E SHORE (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MARION E SHORE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MICHAEL JACKSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since May 14, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: MARK A. JACKSON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since February 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: JOHN D PIDGEON (TRUSTEE OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: JOHN D PIDGEON (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since January 1, 2013. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: NICOLE MOORE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since March 25, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
August 1, 2025: NICOLE MOORE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on August 1, 2025; associated with this enrollment since June 5, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
October 16, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	June 5, 2025	June 5, 2025	1	2
2	August 9, 2024	August 9, 2024	2	0
3	July 27, 2023	July 27, 2023	1	8

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

Deficiencies cited

4 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
November 20, 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	Yes	Deficient, Provider has date of correction	December 11, 2025
August 9, 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	August 30, 2024
August 9, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	August 30, 2024
July 27, 2023	Health	F 0676	Quality of Life and Care Deficiencies	Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.	D	No	Deficient, Provider has date of correction	August 15, 2023

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

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	HENRY COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services	2000-06-25
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Wells
Telephone Number	2607582131
Chain Name	AMERICAN SENIOR COMMUNITIES
Chain ID	33
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	86
Average Number of Residents per Day	76.3
Overall Rating	5
Health Inspection Rating	5
QM Rating	5
Long-Stay QM Rating	5
Processing Date	2026-09-01

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

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One email a day naming what moved on MARKLE HEALTH & REHABILITATION: 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.

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The citable document for MARKLE HEALTH & REHABILITATION

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 155673.