Skilled nursing facility · CMS certification number 155703
BROOKSIDE VILLAGE INC
JASPER, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 27
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 June 19, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,289,966 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,753,107 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,536,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,113,798 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $423,061 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,323 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $443,384 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $443,384 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 38,430 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,489 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 908 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 19,037 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 23,434 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 105 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 114 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 223 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 227 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1430196, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,763,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,026,172 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,737,702 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,255,945 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$518,243 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,932 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$507,311 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$507,311 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,484 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 225 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 173.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395500, 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 24, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,775,694 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,319,395 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,456,299 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,180,863 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$724,564 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,176 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$717,388 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$717,388 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,153 | 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 | 45.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 272.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363058, 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 September 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,521,539 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,743,846 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,777,693 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,570,207 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$792,514 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $163,595 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$628,919 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$628,919 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,785 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333595, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 10, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,397,229 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $937,820 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,459,409 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,059,048 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$599,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $343,308 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$256,331 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$256,331 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,254 | 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 | 31.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,008 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303934, 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 17, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,131,600 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,202,024 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,929,576 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,887,840 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $41,736 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$6,576 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $35,160 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $35,160 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,645 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 210.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260585, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 13, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,245,720 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,268,754 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,976,966 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,938,578 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $38,388 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,445 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $46,833 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $46,833 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,783 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 253.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 158.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240556, 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 24, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,062,753 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,330,883 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,731,870 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,004,781 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$272,911 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,208 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$241,703 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$241,703 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,900 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 117.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1201989, 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 25, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,604,373 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,257,542 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,346,831 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,141,400 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$794,569 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $683,970 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$110,599 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$110,599 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,195 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170627, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,720,907 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,373,893 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,347,014 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,894,253 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$547,239 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $635,668 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $88,429 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $88,429 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,555 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 173.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139734, 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 25, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,336,080 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $873,274 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,462,806 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,866,665 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$403,859 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $636,429 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $232,570 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $232,570 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,717 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 141.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104967, 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 July 23, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,485,772 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,111,963 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,373,809 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,733,470 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$359,661 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $677,285 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $317,624 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $317,624 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,511 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 174.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071448, 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 July 23, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,191,473 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,033,217 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,158,256 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,591,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$433,616 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $610,486 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $176,870 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $176,870 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,761 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 137 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 158.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1041522, 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 December 6, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,720,850 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $210,063 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,510,787 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,606,813 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$96,026 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $531,395 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $435,369 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $382,715 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,426 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 150.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1021414, 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 September 14, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,146,725 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,163,862 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$17,137 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $619,382 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $602,245 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,627 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 194.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417683, 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 August 5, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,045,631 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,392,344 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$346,713 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $550,144 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $203,431 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,786 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 298.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384860, 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 August 21, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,911,411 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,300,352 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$388,941 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $573,239 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $184,298 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,030 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 200.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355153, 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 August 20, 2008.
None of these figures is carried on this report.
CMS report record 324499, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 3, 2007.
None of these figures is carried on this report.
CMS report record 297387, 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 May 1, 2007.
None of these figures is carried on this report.
CMS report record 277094, 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 October 26, 2005.
None of these figures is carried on this report.
CMS report record 235419, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 17, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,688,100 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,677,118 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $10,982 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,559 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $17,541 (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 | 19 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 5,144 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 67 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 76.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202943, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for July 25, 2002 to December 31, 2002 — a reporting period of 159 days, not a full year, on form CMS-2540-96, settled, processed by CMS on July 16, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $650,777 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $803,714 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$152,937 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,262 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$142,675 (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 | 19 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 1,744 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 21 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 83.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 187312, read from the public cost report file SNFFY2002.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 |
|---|---|---|---|---|
| MOORE OPERATING GROUP INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2004 |
| BEACHSIDE HOLDINGS CORPORATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 12/05/2019 |
| ANKURA CONSULTING GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/15/2022 |
| BALLA, MATTHEW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/23/2022 |
| BEACHSIDE HOLDINGS CORPORATION | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/21/2025 |
| BRADLEY & ASSOCIATES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| CARDON AND ASSOCIATES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/15/2025 |
| CATTELL, ZACHARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/07/2025 |
| COLE MARKETING COMMUNICATIONS INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2015 |
| EMERSON, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/18/2018 |
| FAUTH, KENDRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/26/2021 |
| FORVIS MAZARS LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2021 |
| GORMAL, GREGG | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2016 |
| GRANNAN, BRITT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/27/2007 |
| HAMBLEN, JUDY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| HAUG, AMY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/04/2022 |
| HEADLEY, KATHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2000 |
| HEALTHDRIVE PODIATRY GROUP PA | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/07/2019 |
| HOPKINS, FRANK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2019 |
| HURST, EVAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2019 |
| JASPER ASSISTED LIVING, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/05/1999 |
| JEFFREY L MORER OD PC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/07/2019 |
| JOFFEE, MELISSA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2023 |
| LACY BEYL & COMPANY INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/15/2015 |
| LIFESPAN THERAPY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/25/2007 |
| LOPOSSA, LYNN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/17/2023 |
| MCINTOSH, ERIC | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/31/2021 |
| MED-PASS INCORPORATED | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2020 |
| MOBILE AUDIOLOGY ASSOCIATES PC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/07/2019 |
| MOORE, STEPHEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOSER CONSULTING INCORPORATED | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/23/2020 |
| RESPIRATORY PARTNERS INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2019 |
| RESTUP, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/29/2022 |
| SPENCER, LEAANN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/18/2018 |
| THIRD EYE HEALTH INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/04/2022 |
| VOHRA WOUND PHYSICIANS OF THE WEST PC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/03/2021 |
| VOX GLOBAL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/28/2019 |
| HEADLEY, KATHY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOORE, DANIEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOORE, DAVID | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOORE, STEPHEN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2000 |
| HEADLEY, KATHY | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOORE, DANIEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOORE, DAVID | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOORE, STEPHEN | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2000 |
| BALLA, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/23/2022 |
| CARDON AND ASSOCIATES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/23/2013 |
| CATTELL, ZACHARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/07/2025 |
| FAUTH, KENDRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/26/2021 |
| GORMAL, GREGG | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2016 |
| GRANNAN, BRITT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/27/2007 |
| HAMBLEN, JUDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| HAUG, AMY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/04/2022 |
| HOPKINS, FRANK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/21/2019 |
| HURST, EVAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/21/2019 |
| JOFFEE, MELISSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2023 |
| LOPOSSA, LYNN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/17/2023 |
| MCCLELLAND, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/15/2019 |
| MCINTOSH, ERIC | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/31/2021 |
| MOORE OPERATING GROUP INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/18/2020 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BROOKSIDE VILLAGE, INC (enrollment ID O20131002000574).
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 |
|---|---|---|---|---|---|
| MOORE OPERATING GROUP INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2004 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BEACHSIDE HOLDINGS CORPORATION | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/5/2019 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| AMY HAUG | Individual | ADP OF THE SNF | Not stated in the filing | 1/4/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ANKURA CONSULTING GROUP LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/15/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| BEACHSIDE HOLDINGS CORPORATION | Organization | ADP OF THE SNF | Not stated in the filing | 5/21/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BRADLEY & ASSOCIATES INC | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRITT GRANNAN | Individual | ADP OF THE SNF | Not stated in the filing | 8/27/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARDON AND ASSOCIATES INC | Organization | ADP OF THE SNF | Not stated in the filing | 5/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| COLE MARKETING COMMUNICATIONS INC | Organization | ADP OF THE SNF | Not stated in the filing | 4/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| ERIC MCINTOSH | Individual | ADP OF THE SNF | Not stated in the filing | 10/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EVAN B HURST | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FORVIS MAZARS LLP | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| FRANK S HOPKINS | Individual | ADP OF THE SNF | Not stated in the filing | 1/21/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGG GORMAL | Individual | ADP OF THE SNF | Not stated in the filing | 10/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| HEALTHDRIVE PODIATRY GROUP PA | Organization | ADP OF THE SNF | Not stated in the filing | 3/7/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASPER ASSISTED LIVING, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/5/1999 | Private equity company: No Real estate investment trust: No Holding company: No |
| JEFFREY L MORER OD PC | Organization | ADP OF THE SNF | Not stated in the filing | 3/7/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| JUDY HAMBLEN | Individual | ADP OF THE SNF | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHY L HEADLEY | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KENDRA FAUTH | Individual | ADP OF THE SNF | Not stated in the filing | 12/26/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LACY BEYL & COMPANY INC | Organization | ADP OF THE SNF | Not stated in the filing | 7/15/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEAANN RENEE SPENCER | Individual | ADP OF THE SNF | Not stated in the filing | 6/18/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LIFESPAN THERAPY LLC | Organization | ADP OF THE SNF | Not stated in the filing | 10/25/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| LYNN LOPOSSA | Individual | ADP OF THE SNF | Not stated in the filing | 12/17/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK EMERSON | Individual | ADP OF THE SNF | Not stated in the filing | 6/18/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW D BALLA | Individual | ADP OF THE SNF | Not stated in the filing | 5/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MED-PASS INCORPORATED | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| MELISSA JOFFEE | Individual | ADP OF THE SNF | Not stated in the filing | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOBILE AUDIOLOGY ASSOCIATES PC | Organization | ADP OF THE SNF | Not stated in the filing | 3/7/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| MOSER CONSULTING INCORPORATED | Organization | ADP OF THE SNF | Not stated in the filing | 4/23/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| RESPIRATORY PARTNERS INC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| RESTUP, LLC | Organization | ADP OF THE SNF | Not stated in the filing | 6/29/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEPHEN G MOORE | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THIRD EYE HEALTH INC | Organization | ADP OF THE SNF | Not stated in the filing | 2/4/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| VOHRA WOUND PHYSICIANS OF THE WEST PC | Organization | ADP OF THE SNF | Not stated in the filing | 3/3/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| VOX GLOBAL LLC | Organization | ADP OF THE SNF | Not stated in the filing | 2/28/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| ZACHARY CATTELL | Individual | ADP OF THE SNF | Not stated in the filing | 4/7/2025 | 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 | 5/15/2025 | 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 | 5/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DANIEL W MOORE | Individual | CORPORATE OFFICER | 25 | 5/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID C MOORE | Individual | CORPORATE OFFICER | 25 | 5/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHY L HEADLEY | Individual | CORPORATE OFFICER | 25 | 5/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN G MOORE | Individual | CORPORATE OFFICER | 25 | 5/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANIEL W MOORE | Individual | INDIRECT OWNERSHIP INTEREST | 25 | 5/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID C MOORE | Individual | INDIRECT OWNERSHIP INTEREST | 25 | 5/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KATHY L HEADLEY | Individual | INDIRECT OWNERSHIP INTEREST | 25 | 5/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEPHEN G MOORE | Individual | INDIRECT OWNERSHIP INTEREST | 25 | 5/1/2000 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMY HAUG | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/4/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRITT GRANNAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/27/2007 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARDON AND ASSOCIATES INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/23/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| ERIC MCINTOSH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/31/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| EVAN B HURST | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/21/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| FRANK S HOPKINS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/21/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GREGG GORMAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 10/1/2016 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JUDY HAMBLEN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KENDRA FAUTH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/26/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LYNN LOPOSSA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/17/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW D BALLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/23/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MELISSA JOFFEE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MOORE OPERATING GROUP INC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/18/2020 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| THOMAS MCCLELLAND | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/15/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ZACHARY CATTELL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 4/7/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- May 1, 2026: KENT N RODGERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARDON OPERATING GROUP INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: WENDY BROUGHTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATHY L HEADLEY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DAVID C MOORE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DANIEL W MOORE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MOORE OPERATING GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MED-PASS INCORPORATED (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: STEPHEN G MOORE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: STEPHEN G MOORE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MARK EMERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RESTUP, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: FRANK S HOPKINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: FRANK S HOPKINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LYNN LOPOSSA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 17, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LYNN LOPOSSA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 17, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRADLEY & ASSOCIATES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JEFFREY L MORER OD PC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 7, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KENDRA FAUTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 26, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KENDRA FAUTH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 26, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: FORVIS MAZARS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LEAANN RENEE SPENCER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: THIRD EYE HEALTH INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 4, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MELISSA JOFFEE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MELISSA JOFFEE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATHY L HEADLEY (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATHY L HEADLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATHY L HEADLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LIFESPAN THERAPY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 25, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JUDY HAMBLEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JUDY HAMBLEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JASPER ASSISTED LIVING, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 5, 1999. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: VOHRA WOUND PHYSICIANS OF THE WEST PC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 3, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RESPIRATORY PARTNERS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LACY BEYL & COMPANY INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 15, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MATTHEW D BALLA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MATTHEW D BALLA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: EVAN B HURST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: EVAN B HURST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: GREGG GORMAL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: GREGG GORMAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARDON AND ASSOCIATES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRITT GRANNAN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since August 27, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DAVID C MOORE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DAVID C MOORE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MOBILE AUDIOLOGY ASSOCIATES PC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 7, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MOSER CONSULTING INCORPORATED (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DANIEL W MOORE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DANIEL W MOORE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: VOX GLOBAL LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 28, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: HEALTHDRIVE PODIATRY GROUP PA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 7, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ZACHARY CATTELL (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ZACHARY CATTELL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 7, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: COLE MARKETING COMMUNICATIONS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since April 1, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MOORE OPERATING GROUP INC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 18, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MOORE OPERATING GROUP INC (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2004. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ERIC MCINTOSH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ERIC MCINTOSH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 31, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: ANKURA CONSULTING GROUP LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 15, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: THOMAS MCCLELLAND (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 15, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: AMY HAUG (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 4, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: AMY HAUG (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 4, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BEACHSIDE HOLDINGS CORPORATION (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BEACHSIDE HOLDINGS CORPORATION (5% OR GREATER INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 5, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
Recent changes on this record
- May 1, 2026: KENT N RODGERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: CARDON OPERATING GROUP INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: WENDY BROUGHTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATHY L HEADLEY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DAVID C MOORE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: DANIEL W MOORE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MOORE OPERATING GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MED-PASS INCORPORATED (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since September 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: STEPHEN G MOORE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: STEPHEN G MOORE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MARK EMERSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RESTUP, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 29, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: FRANK S HOPKINS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: FRANK S HOPKINS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LYNN LOPOSSA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 17, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LYNN LOPOSSA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 17, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: BRADLEY & ASSOCIATES INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JEFFREY L MORER OD PC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 7, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KENDRA FAUTH (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 26, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KENDRA FAUTH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 26, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: FORVIS MAZARS LLP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LEAANN RENEE SPENCER (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since June 18, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: THIRD EYE HEALTH INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since February 4, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MELISSA JOFFEE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MELISSA JOFFEE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATHY L HEADLEY (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATHY L HEADLEY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: KATHY L HEADLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 1, 2000. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LIFESPAN THERAPY LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since October 25, 2007. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JUDY HAMBLEN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JUDY HAMBLEN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: JASPER ASSISTED LIVING, LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 5, 1999. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: VOHRA WOUND PHYSICIANS OF THE WEST PC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since March 3, 2021. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: RESPIRATORY PARTNERS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since November 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: LACY BEYL & COMPANY INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since July 15, 2015. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MATTHEW D BALLA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: MATTHEW D BALLA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 23, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since May 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: EVAN B HURST (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- May 1, 2026: EVAN B HURST (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on May 1, 2026; associated with this enrollment since January 21, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | May 12, 2026 | May 12, 2026 | 4 | 0 |
| 2 | March 19, 2025 | March 19, 2025 | 0 | 0 |
| 3 | February 26, 2024 | February 26, 2024 | 2 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
6 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| May 12, 2026 | 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. | E | No | Deficient, Provider has date of correction | May 31, 2026 |
| May 12, 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | May 31, 2026 |
| May 12, 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | May 31, 2026 |
| May 12, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | May 31, 2026 |
| February 26, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | No | Deficient, Provider has date of correction | March 11, 2024 |
| October 10, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | October 30, 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 | For profit - Corporation |
| Legal Business Name | BROOKSIDE VILLAGE, INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2002-07-25 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Dubois |
| Telephone Number | 8126347750 |
| 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 | 27 |
| Average Number of Residents per Day | 23.0 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| 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 BROOKSIDE VILLAGE INC: 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 May 1, 2026: KENT N RODGERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. 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 BROOKSIDE VILLAGE INC
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.
Other public records in Indiana
- IDEM TEST SITE, INDIANAPOLIS Water discharge permit
- JOHN'S AUTO SALVAGE, INDIANAPOLIS Water discharge permit
- IDEM TEST SITE, INDIANAPOLIS Water discharge permit
- INDIANAPOLIS EXECUTIVE AIRPORT, ZIONSVILLE Water discharge permit
- IDEM TEST SITE, INDIANAPOLIS Water discharge permit
- CREATIVE FOAM MEDICAL SYSTEMS, BREMEN Water discharge permit
- MILESTONE CONTRACTORS LP, BLOOMFIELD Water discharge permit
- CONTINENTAL STRUCTURAL PLASTICS, HUNTINGTON Water discharge permit
- RIETH RILEY CONSTRUCTION COMPANY INCORPORATED, TIPTON Air emission source
- LAP WOOD PRODUCTS, MONTEREY Air emission source
- CALCAR QUARRY, PAOLI Air emission source
- E & B PAVING, LLC, NOBLESVILLE Air emission source
- JENSTAR ASPHALT LLC, GARY Air emission source
- DAVIESS COUNTY MUNICIPAL HIGHWAY DEPARTMENT, MONTGOMERY Air emission source
- RIETH-RILEY CONSTRUCTION COMPANY INCORPORATED, FREMONT Air emission source
- JH RUDOLPH & COMPANY INCORPORATED PETERSBURG, DALE Air emission source
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 155703.