Skilled nursing facility · CMS certification number 155733
COLONIAL NURSING HOME
CROWN POINT, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 55
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 | $5,882,167 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,326,736 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,555,431 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,763,318 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$207,887 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,369 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$195,518 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$195,518 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 20,130 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 594 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,118 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 3,376 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 12,088 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 11 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 28 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 70 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 109 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 289.93 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433667, 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 | $5,717,918 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $969,619 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,748,299 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,671,086 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $77,213 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $358,153 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $435,366 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $435,366 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,189 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 95.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 196.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395503, 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 7, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,593,631 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $591,085 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,002,546 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,396,534 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $606,012 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $66,428 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $672,440 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $672,440 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,305 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 54.16 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 178.45 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.56 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1361205, 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 | $5,766,408 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $890,975 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,875,433 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,409,459 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,465,974 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,779 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,488,753 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,488,753 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,293 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 42 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 72.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 771 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 316.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1332986, 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 October 28, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,006,339 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $105,231 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,901,108 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,757,365 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $143,743 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $196,887 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $340,630 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $340,630 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,307 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.41 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 332.68 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303307, 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 August 5, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,071,204 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $38,555 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,032,649 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,567,575 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $465,074 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,905 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $469,979 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $469,979 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,685 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 60 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 60.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 228.08 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1291931, 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 16, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,513,850 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$49,884 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,563,734 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,595,514 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$31,780 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,307 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$21,473 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$21,473 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,100 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 198.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241105, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,576,381 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$191,247 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,767,628 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,578,307 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $189,321 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,611 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $195,932 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $195,932 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,958 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 61 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 320.42 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 245.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208523, 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 | $3,243,238 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$554,476 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,797,714 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,466,356 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $331,358 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,596 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $333,954 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $333,954 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,309 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 178.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170630, 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 | $3,327,744 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$590,669 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,918,413 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,339,624 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $578,789 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,144 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $581,933 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $581,933 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,046 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 64.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 170.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139739, 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 | $4,202,475 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $221,139 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,981,336 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,383,412 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $597,924 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,218 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $606,142 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $606,142 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,864 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 98 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 161.88 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1105383, 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 30, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,804,742 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $528,765 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,275,977 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,564,253 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $711,724 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $17,886 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $729,610 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $729,610 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,009 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 102 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.4 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 147.15 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074155, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for June 1, 2012 to December 31, 2012 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 5, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,025,364 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $421,067 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,604,297 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,002,194 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $602,103 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,131 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $603,234 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $603,234 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,358 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 69 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.76 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 135.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1045508, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on October 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,639,381 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $211,576 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,427,805 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,764,111 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$336,306 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,789 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$328,517 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$328,517 (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 | 55 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,633 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 140.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1017000, 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 May 31, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,544,612 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,669,747 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$125,135 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $97,159 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$27,976 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,081 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.31 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 117.82 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 429795, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 23, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,745,479 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,588,053 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $157,426 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,482 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $31,174 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $131,734 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,295 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 112 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 136.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 407574, 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 June 17, 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,697,902 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,511,668 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $186,234 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,554 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $102,115 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $90,673 (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 | 55 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 14,556 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 96 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 151.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 375664, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 25, 2009.
None of these figures is carried on this report.
CMS report record 335875, 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 297390, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended February 27, 2005
Cost report for January 1, 2005 to February 27, 2005 — a reporting period of 57 days, not a full year, on form CMS-2540-96, settled, processed by CMS on October 16, 2006.
None of these figures is carried on this report.
CMS report record 264569, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for August 31, 2004 to December 31, 2004 — a reporting period of 122 days, not a full year, 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 235422, read from the public cost report file SNFFY2004.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 |
| 119 CROWN POINT 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 01/01/2024 |
| CLINICAL CONSULTING SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| COLONIAL NURSING AND REHABILITATION 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 |
| LME FAMILY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| SAMARA FAMILY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| SHORT, JENNIFER | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/21/2022 |
| SUMMATION FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| TEODORI, KRISTINE | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2020 |
| GREATOREX, TINA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/19/2025 |
| SCHIOWITZ, MARC | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/18/2025 |
| SEBBAG, GABRIEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/18/2025 |
| BORNE-BAUMAN, CANDICE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2019 |
| FLUECKIGER, RUSSELL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2012 |
| LEHMAN, SCOTT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/14/2020 |
| MACKLIN, LARRY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 06/01/2012 |
| MCINTIRE, DAVID | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2019 |
| ADAMS COUNTY MEMORIAL HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 06/01/2012 |
| BORNE-BAUMAN, CANDICE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| COLONIAL NURSING AND REHABILITATION LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2020 |
| FLUECKIGER, RUSSELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2012 |
| LEHMAN, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/14/2020 |
| MACKLIN, LARRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2012 |
| MCINTIRE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| SHORT, JENNIFER | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/21/2022 |
| SMITH, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| SPRUNGER, KYLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2018 |
| TEODORI, KRISTINE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2020 |
| WHEELER, DANE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2012 |
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 O20120924000732).
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 | 6/1/2012 | 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 |
| 119 CROWN POINT 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 | 1/1/2024 | 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 |
| COLONIAL NURSING AND REHABILITATION 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 |
| JENNIFER SHORT | Individual | ADP OF THE SNF | Not stated in the filing | 11/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRISTINE TEODORI | Individual | ADP OF THE SNF | Not stated in the filing | 11/1/2020 | 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 |
| 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 |
| SUMMATION FINANCIAL 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 |
| 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 | 6/1/2012 | 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 | 6/1/2012 | 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 | 6/1/2012 | 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 |
| COLONIAL 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 |
| DANE WHEELER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2012 | 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 |
| JENNIFER SHORT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/21/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KRISTINE TEODORI | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/1/2020 | 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 | 6/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RUSSELL W FLUECKIGER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2012 | 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 |
Changes in ownership
- February 1, 2026: SCOTT T SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SCOTT T SMITH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KYLE SPRUNGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KYLE SPRUNGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANE E WHEELER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANE E WHEELER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SAMARA FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CLINICAL CONSULTING SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CIBC BANK USA (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SCOTT T SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: COLONIAL NURSING AND REHABILITATION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: COLONIAL NURSING AND REHABILITATION LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KYLE SPRUNGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUMMATION FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JENNIFER SHORT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JENNIFER SHORT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BLUE MANAGEMENT SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CANDICE BORNE-BAUMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CANDICE BORNE-BAUMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DAVID MCINTIRE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DAVID MCINTIRE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RUSSELL W FLUECKIGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RUSSELL W FLUECKIGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANE E WHEELER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LARRY MACKLIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LARRY MACKLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KRISTINE TEODORI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KRISTINE TEODORI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LME FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: 119 CROWN POINT PROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SCOTT E LEHMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SCOTT E LEHMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ADAMS COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: FIRST BANK OF BERNE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- March 15, 2023: JOELLEN E EIDAM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JOELLEN E EIDAM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SCOTT T SMITH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SCOTT T SMITH (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: KYLE SPRUNGER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: KYLE SPRUNGER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Recent changes on this record
- February 1, 2026: SCOTT T SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SCOTT T SMITH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KYLE SPRUNGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KYLE SPRUNGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANE E WHEELER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANE E WHEELER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SAMARA FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CLINICAL CONSULTING SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CIBC BANK USA (5% OR GREATER MORTGAGE INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SCOTT T SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: COLONIAL NURSING AND REHABILITATION LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: COLONIAL NURSING AND REHABILITATION LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KYLE SPRUNGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SUMMATION FINANCIAL SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JENNIFER SHORT (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: JENNIFER SHORT (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: BLUE MANAGEMENT SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CANDICE BORNE-BAUMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: CANDICE BORNE-BAUMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DAVID MCINTIRE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DAVID MCINTIRE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RUSSELL W FLUECKIGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: RUSSELL W FLUECKIGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: DANE E WHEELER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LARRY MACKLIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LARRY MACKLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KRISTINE TEODORI (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: KRISTINE TEODORI (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: LME FAMILY HOLDINGS LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: 119 CROWN POINT PROPCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since November 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SCOTT E LEHMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: SCOTT E LEHMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: ADAMS COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since June 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- February 1, 2026: FIRST BANK OF BERNE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on February 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- September 23, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 7, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- March 15, 2023: JOELLEN E EIDAM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: JOELLEN E EIDAM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- March 15, 2023: SCOTT T SMITH (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on March 15, 2023; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | June 2, 2025 | June 2, 2025 | 10 | 0 |
| 2 | August 23, 2024 | August 23, 2024 | 11 | 1 |
| 3 | June 30, 2023 | June 30, 2023 | 14 | 1 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
35 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| June 2, 2025 | 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. | D | No | Deficient, Provider has date of correction | June 19, 2025 |
| June 2, 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. | D | No | Deficient, Provider has date of correction | June 19, 2025 |
| June 2, 2025 | 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 | June 19, 2025 |
| June 2, 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | June 19, 2025 |
| June 2, 2025 | 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 | June 19, 2025 |
| June 2, 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | June 19, 2025 |
| June 2, 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. | F | No | Deficient, Provider has date of correction | June 19, 2025 |
| June 2, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | June 19, 2025 |
| June 2, 2025 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | No | Waiver has been granted | June 19, 2025 |
| June 2, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | June 19, 2025 |
| March 18, 2025 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Yes | Deficient, Provider has date of correction | April 4, 2025 |
| March 18, 2025 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | April 4, 2025 |
| March 18, 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | April 4, 2025 |
| March 18, 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | Yes | Deficient, Provider has date of correction | April 4, 2025 |
| August 23, 2024 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | D | No | Deficient, Provider has date of correction | September 10, 2024 |
| August 23, 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 | September 10, 2024 |
| August 23, 2024 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | September 10, 2024 |
| August 23, 2024 | Health | F 0690 | Quality of Life and Care Deficiencies | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Yes | Deficient, Provider has date of correction | September 10, 2024 |
| August 23, 2024 | Health | F 0694 | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | No | Deficient, Provider has date of correction | September 10, 2024 |
| August 23, 2024 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | September 10, 2024 |
| August 23, 2024 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | No | Waiver has been granted | September 10, 2024 |
| April 15, 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. | D | Yes | Deficient, Provider has date of correction | April 25, 2024 |
| June 30, 2023 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0660 | Resident Assessment and Care Planning Deficiencies | Plan the resident's discharge to meet the resident's goals and needs. | D | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | 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 | July 28, 2023 |
| June 30, 2023 | 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 | July 28, 2023 |
| June 30, 2023 | Health | F 0732 | Nursing and Physician Services Deficiencies | Post nurse staffing information every day. | C | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0757 | Pharmacy Service Deficiencies | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0805 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | D | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | July 28, 2023 |
| June 30, 2023 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | E | No | Waiver has been granted | July 28, 2023 |
| June 30, 2023 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | E | No | Deficient, Provider has date of correction | July 28, 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 - Individual |
| Legal Business Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-08-31 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Lake |
| Telephone Number | 2196632532 |
| 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 | 55 |
| Average Number of Residents per Day | 29.1 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on COLONIAL NURSING HOME: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for COLONIAL NURSING HOME
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 155733.