Skilled nursing facility · CMS certification number 155714
OAK VILLAGE
OAKTOWN, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 50
Download this facility’s record (CSV)
A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.
In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓
For this facility: the citable document with full history — $295 · an email when this record changes — $99/month
Finances, as filed
From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.
Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 28, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,905,055 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $773,993 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,131,062 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,339,095 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$208,033 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $14,088 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$193,945 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$193,945 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 18,300 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 761 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 9,233 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,280 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 11,274 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 35 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 34 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 84 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 263.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 134.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433658, 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 | $4,027,918 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $555,095 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,472,823 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,868,168 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$395,345 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $259,987 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$135,358 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$135,358 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,651 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 240.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.33 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395501, 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 9, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,989,901 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $126,575 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,863,326 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,624,726 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $238,600 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $166,713 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $405,313 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $405,313 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,741 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 51.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 269.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 150.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361513, 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 20, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,814,575 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $284,064 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,530,511 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,853,549 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $676,962 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,043 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $681,005 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $681,005 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,083 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 426.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 170.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332984, 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 July 22, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,094,142 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$732,507 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,826,649 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,397,231 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $429,418 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $263,778 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $693,196 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $693,196 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,647 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 163.8 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1325894, 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 3, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,281,011 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$480,796 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,761,807 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,843,570 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$81,763 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,212 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$78,551 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$78,551 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,912 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 320.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274802, 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 26, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,030,545 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$419,961 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,450,506 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,320,952 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $129,554 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,696 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $133,250 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $133,250 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,077 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 34 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.47 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 296.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238362, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for December 1, 2017 to December 31, 2017 — a reporting period of 30 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 22, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $209,596 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$64,058 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $273,654 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $275,035 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,381 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $380 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,001 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,001 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 965 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 6 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 73.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 303 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 160.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1209996, read from the public cost report file SNF10FY2018.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 24, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,083,872 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$191,697 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,275,569 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,179,521 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $96,048 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,222 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $98,270 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $98,270 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,949 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 47 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 190.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170455, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended December 31, 2015
Cost report for January 1, 2015 to December 31, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 8, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,154,723 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$71,695 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,226,418 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,323,719 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$97,301 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$600 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$97,901 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$97,901 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,996 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 45 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 199.91 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1140073, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on June 4, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,571,726 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,571,726 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,491,370 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $80,356 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,161 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $87,517 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $87,517 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,747 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 43 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.85 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 419.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 203.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1093245, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for October 1, 2013 to December 31, 2013 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 5, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $447,945 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $447,945 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $526,648 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$78,703 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,726 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$76,977 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$76,977 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 2,172 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 4 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,401 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 543 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1075037, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2012, ended September 30, 2012
Cost report for October 1, 2011 to September 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 14, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,008,928 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Net patient revenue | $2,008,928 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,935,584 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $73,344 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $42,594 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $115,938 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $115,938 (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 | 50 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,033 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 24 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,964.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 501.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1029145, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended September 30, 2011
Cost report for October 1, 2010 to September 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,851,625 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,737,973 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $113,652 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $36,525 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $150,177 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,663 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 24 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.35 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,952.75 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 444.29 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434389, read from the public cost report file SNFFY2011.zip.
Fiscal year 2010, ended September 30, 2010
Cost report for October 1, 2009 to September 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 27, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,908,973 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,703,270 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $205,703 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,598 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $219,301 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 11,250 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 39.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,199.57 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 340.91 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424076, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended September 30, 2009
Cost report for October 1, 2008 to September 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 7, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,924,909 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,777,081 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $147,828 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,121 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $161,949 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,675 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 33 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 52.07 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,465.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 323.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 390501, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended September 30, 2008
Cost report for October 1, 2007 to September 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on October 29, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,442,151 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,470,803 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$28,652 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $44,752 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $16,100 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 8,661 | 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 | 63.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 254.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 358424, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended September 30, 2007
Cost report for October 1, 2006 to September 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 28, 2009.
None of these figures is carried on this report.
CMS report record 332771, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended September 30, 2006
Cost report for October 1, 2005 to September 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 19, 2007.
None of these figures is carried on this report.
CMS report record 299045, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended September 30, 2005
Cost report for October 1, 2004 to September 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 21, 2006.
None of these figures is carried on this report.
CMS report record 269514, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended September 30, 2004
Cost report for October 1, 2003 to September 30, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2006.
None of these figures is carried on this report.
CMS report record 240627, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended September 30, 2003
Cost report for December 19, 2002 to September 30, 2003 — a reporting period of 285 days, not a full year, on form CMS-2540-96, settled, processed by CMS on November 22, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,116,276 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,198,398 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$82,122 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,563 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$70,559 (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 | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 9,622 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 25 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 105.25 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 384.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 200370, read from the public cost report file SNFFY2003.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 |
|---|---|---|---|---|
| CIBC BANK USA | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 11/01/2020 |
| 200 OAKTOWN PROPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| BLUE MANAGEMENT SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| CLINICAL CONSULTING SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| FIRST BANK OF BERNE | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2020 |
| JSJ HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/25/2026 |
| LME FAMILY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| MARTIN, THOMAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2025 |
| MIDWEST IN OPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/24/2026 |
| NEESE, KEVIN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/15/2025 |
| OAK VILLAGE NURSING AND REHABILITATION LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/01/2025 |
| SAMARA FAMILY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| SANDERS, JODI | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/24/2025 |
| BORNE-BAUMAN, CANDICE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2019 |
| FLUECKIGER, RUSSELL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/01/2017 |
| LEHMAN, SCOTT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/14/2020 |
| MACKLIN, LARRY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/01/2017 |
| MCINTIRE, DAVID | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2019 |
| ADAMS COUNTY MEMORIAL HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 12/01/2017 |
| BORNE-BAUMAN, CANDICE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| FLUECKIGER, RUSSELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2017 |
| LEHMAN, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/14/2020 |
| MACKLIN, LARRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2017 |
| MARTIN, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| MCINTIRE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| NEESE, KEVIN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/15/2025 |
| OAK VILLAGE NURSING AND REHABILITATION LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2020 |
| SANDERS, JODI | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| SMITH, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| SPRUNGER, KYLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2018 |
| WHEELER, DANE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2017 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of ADAMS COUNTY MEMORIAL HOSPITAL (enrollment ID O20180327000930).
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 |
|---|---|---|---|---|---|
| ADAMS COUNTY MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| CIBC BANK USA | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| 200 OAKTOWN PROPCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| BLUE MANAGEMENT SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLINICAL CONSULTING SERVICES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| FIRST BANK OF BERNE | Organization | ADP OF THE SNF | Not stated in the filing | 1/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| JODI SANDERS | 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 |
| JSJ HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 2/25/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| KEVIN D NEESE | Individual | ADP OF THE SNF | Not stated in the filing | 5/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LME FAMILY HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| MIDWEST IN OPCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 2/24/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| OAK VILLAGE NURSING AND REHABILITATION LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAMARA FAMILY HOLDINGS LLC | Organization | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| THOMAS JAMES MARTIN | Individual | ADP OF THE SNF | Not stated in the filing | 5/1/2025 | 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 | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| CANDICE BORNE-BAUMAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID MCINTIRE | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LARRY MACKLIN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RUSSELL W FLUECKIGER | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 12/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT E LEHMAN | Individual | MANAGING CONTROL - GOVERNING BODY | Not stated in the filing | 7/14/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ADAMS COUNTY MEMORIAL HOSPITAL | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| CANDICE BORNE-BAUMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DANE WHEELER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID MCINTIRE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JODI SANDERS | 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 |
| KEVIN D NEESE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 5/15/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KYLE SPRUNGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2018 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LARRY MACKLIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OAK VILLAGE NURSING AND REHABILITATION LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| RUSSELL W FLUECKIGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT E LEHMAN | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/14/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SCOTT T SMITH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS JAMES MARTIN | 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 |
Changes in ownership
- April 1, 2026: SAMARA FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CLINICAL CONSULTING SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CIBC BANK USA (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JSJ HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 25, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KEVIN D NEESE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KEVIN D NEESE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BLUE MANAGEMENT SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CANDICE BORNE-BAUMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIDWEST IN OPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 24, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DAVID MCINTIRE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RUSSELL W FLUECKIGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LARRY MACKLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LME FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SCOTT E LEHMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADAMS COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: FIRST BANK OF BERNE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- July 1, 2025: ADAMS COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SCOTT T SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KYLE SPRUNGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CANDICE BORNE-BAUMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID MCINTIRE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RUSSELL W FLUECKIGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JODI SANDERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JODI SANDERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANE E WHEELER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LARRY MACKLIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS JAMES MARTIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS JAMES MARTIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: 200 OAKTOWN PROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: OAK VILLAGE NURSING AND REHABILITATION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: OAK VILLAGE NURSING AND REHABILITATION LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SCOTT E LEHMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- February 1, 2025: DANE E WHEELER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOELLEN E EIDAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ADAMS COUNTY MEMORIAL HOSPITAL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- January 1, 2025: CAROLYN DAVIS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
Recent changes on this record
- April 1, 2026: SAMARA FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CLINICAL CONSULTING SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CIBC BANK USA (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: JSJ HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 25, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KEVIN D NEESE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: KEVIN D NEESE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since May 15, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: BLUE MANAGEMENT SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: CANDICE BORNE-BAUMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: MIDWEST IN OPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since February 24, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: DAVID MCINTIRE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: RUSSELL W FLUECKIGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LARRY MACKLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: LME FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: SCOTT E LEHMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: ADAMS COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- April 1, 2026: FIRST BANK OF BERNE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on April 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-04-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- July 1, 2025: ADAMS COUNTY MEMORIAL HOSPITAL (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SCOTT T SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: KYLE SPRUNGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: CANDICE BORNE-BAUMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DAVID MCINTIRE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: RUSSELL W FLUECKIGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JODI SANDERS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since March 24, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: JODI SANDERS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: DANE E WHEELER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: LARRY MACKLIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since December 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS JAMES MARTIN (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: THOMAS JAMES MARTIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: 200 OAKTOWN PROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: OAK VILLAGE NURSING AND REHABILITATION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since May 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: OAK VILLAGE NURSING AND REHABILITATION LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- July 1, 2025: SCOTT E LEHMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on July 1, 2025; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-07-01.csv
- February 1, 2025: DANE E WHEELER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JOELLEN E EIDAM no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ADAMS COUNTY MEMORIAL HOSPITAL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- January 1, 2025: CAROLYN DAVIS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-01-01.csv
- September 23, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 9, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 22, 2025 | December 22, 2025 | 7 | 8 |
| 2 | September 20, 2024 | September 20, 2024 | 13 | 1 |
| 3 | August 25, 2023 | August 25, 2023 | 5 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
25 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| December 22, 2025 | 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 | January 22, 2026 |
| December 22, 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | No | Deficient, Provider has date of correction | January 22, 2026 |
| December 22, 2025 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | No | Deficient, Provider has date of correction | January 22, 2026 |
| December 22, 2025 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | January 22, 2026 |
| December 22, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | January 22, 2026 |
| December 22, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | January 22, 2026 |
| December 22, 2025 | Health | F 0926 | Environmental Deficiencies | Have policies on smoking. | D | No | Deficient, Provider has date of correction | January 22, 2026 |
| May 8, 2025 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Yes | Deficient, Provider has date of correction | May 21, 2025 |
| April 1, 2025 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Past Non-Compliance | March 27, 2025 |
| December 31, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | January 18, 2025 |
| December 31, 2024 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | January 18, 2025 |
| December 31, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Yes | Deficient, Provider has date of correction | January 18, 2025 |
| September 20, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 20, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 20, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 20, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 20, 2024 | Health | F 0697 | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. | D | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 20, 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 20, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | No | Deficient, Provider has date of correction | October 18, 2024 |
| September 20, 2024 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | No | Deficient, Provider has date of correction | October 18, 2024 |
| August 25, 2023 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | October 3, 2023 |
| August 25, 2023 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | October 3, 2023 |
| August 25, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | October 3, 2023 |
| August 25, 2023 | Health | F 0759 | Pharmacy Service Deficiencies | Ensure medication error rates are not 5 percent or greater. | D | No | Deficient, Provider has date of correction | October 3, 2023 |
| August 25, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | October 3, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 2002-12-19 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Knox |
| Telephone Number | 8127452360 |
| Chain Name | IDE MANAGEMENT GROUP |
| Chain ID | 278 |
| 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 | 50 |
| Average Number of Residents per Day | 36.2 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| Short-Stay QM Rating | 3 |
| 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 OAK VILLAGE: 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 OAK VILLAGE
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 155714.