Skilled nursing facility · CMS certification number 155780
HAWTHORNE HEALTHCARE CENTER
INDIANAPOLIS, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 88
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: 2 · Fines: 1 · Fines, total amount: $12,428.00 · Payment denials: 1. The most recent penalty on file: April 23, 2025, Fine, $12,428. 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 | $7,958,513 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$278,813 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,237,326 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,889,666 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $347,660 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $25,016 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $372,676 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $372,676 (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 | 88 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 44,584 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 421 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 18,535 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,459 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,415 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 110 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 40 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 165 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.07 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 168.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 129.79 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433688, 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 August 29, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,877,411 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,400,789 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,278,200 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,911,662 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $366,538 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $71,047 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $437,585 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $437,585 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,586 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 187 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 86.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 110.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1393421, 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 31, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,164,697 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$590,802 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,755,499 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,851,752 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$96,253 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $591,882 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $495,629 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $495,629 (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 | 156 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,443 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 275 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 85.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363706, 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 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,199,933 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,277,010 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,922,923 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,749,216 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $173,707 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $281,111 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $454,818 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $454,818 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,105 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 477 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 58.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331816, read from the public cost report file SNF10FY2021.zip.
Fiscal year 2020, ended December 31, 2020
Cost report for January 1, 2020 to December 31, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on May 26, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,871,811 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,228,853 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,642,958 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $9,126,764 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $516,194 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $107,148 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $623,342 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $623,342 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,826 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 315 | 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, all patients, in days | 85.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1317099, 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 April 22, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,077,258 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $724,887 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,352,371 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,920,271 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $432,100 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,759 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $436,859 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $436,859 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,846 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 189 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.94 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 115.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282724, 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 21, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,034,075 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $903,582 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,130,493 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,036,827 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,093,666 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,596 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,115,262 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,115,262 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,389 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 286.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1241542, 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 | $10,636,428 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,214,132 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,422,296 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,347,383 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,074,913 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,994 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,083,907 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,083,907 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,394 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 251 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 229.85 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208222, 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 August 1, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,449,922 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,433,565 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,016,357 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $8,125,153 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $891,204 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,394 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $900,598 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $900,598 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,069 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 286 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.87 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 105.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1171480, 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 | $10,353,188 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,378,991 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,974,197 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,567,525 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,406,672 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $4,763 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,411,435 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,411,433 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,491 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 242 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.33 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 117.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139743, 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 | $11,657,895 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,625,272 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $9,032,623 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,753,840 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,278,783 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,274 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,298,057 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,298,057 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 29,527 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 185 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 159.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104516, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended December 31, 2013
Cost report for January 1, 2013 to December 31, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 11, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $10,583,488 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,866,638 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,716,850 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,355,637 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $361,213 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,151 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $380,364 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $380,364 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,769 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 253 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 109.76 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1075558, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for July 1, 2012 to December 31, 2012 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on July 31, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,334,461 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,208,634 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,125,827 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,321,471 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$195,644 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,906 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$192,738 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$192,738 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,902 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 108.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1044406, 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 | $6,863,568 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $489,215 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,374,353 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,655,826 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $718,527 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,672 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $731,199 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $731,199 (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 | 130 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,674 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 336 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 29.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 64.51 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016728, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for July 13, 2010 to December 31, 2010 — a reporting period of 171 days, not a full year, on form CMS-2540-96, settled, processed by CMS on September 14, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,960,373 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,090,918 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,130,545 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,535 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $75,915 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$1,203,925 (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 | 130 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 5,763 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 83 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 69.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417688, read from the public cost report file SNFFY2010.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 |
|---|---|---|---|---|
| BARBOUR, JAKOB | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/20/2022 |
| BLUE MANAGEMENT SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/01/2023 |
| FIRST BANK OF BERNE | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2020 |
| OMEGA HEALTHCARE INVESTORS INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2017 |
| OMG IN MSTR LSCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/05/2026 |
| RADADIYA, PRAGNESHKUMAR | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/05/2026 |
| S MADISON MGT CO., LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2017 |
| BORNE-BAUMAN, CANDICE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2019 |
| FLUECKIGER, RUSSELL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2012 |
| LEHMAN, SCOTT | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/14/2020 |
| MACKLIN, LARRY | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 07/01/2012 |
| MCINTIRE, DAVID | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/01/2019 |
| ADAMS COUNTY MEMORIAL HOSPITAL | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2012 |
| BARBOUR, JAKOB | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/20/2022 |
| BORNE-BAUMAN, CANDICE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| FLUECKIGER, RUSSELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2012 |
| LEHMAN, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/14/2020 |
| MACKLIN, LARRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2012 |
| MCINTIRE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| ODENTHAL, RICHARD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/01/2017 |
| RADADIYA, PRAGNESHKUMAR | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/12/2019 |
| S MADISON MGT CO., LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2017 |
| 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 07/01/2012 |
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 O20120924000826).
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 | 7/1/2012 | 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 | 12/1/2023 | 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 |
| JAKOB BARBOUR | Individual | ADP OF THE SNF | Not stated in the filing | 12/20/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| OMEGA HEALTHCARE INVESTORS INC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| OMG IN MSTR LSCO LLC | Organization | ADP OF THE SNF | Not stated in the filing | 1/5/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| PRAGNESHKUMAR N RADADIYA | Individual | ADP OF THE SNF | Not stated in the filing | 1/5/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| S MADISON MGT CO., LLC | Organization | ADP OF THE SNF | Not stated in the filing | 9/1/2017 | 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 | 7/1/2012 | 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 | 7/1/2012 | 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 | 7/1/2012 | 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 |
| DANE WHEELER | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2012 | 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 |
| JAKOB BARBOUR | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/20/2022 | 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 | 7/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PRAGNESHKUMAR N RADADIYA | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/12/2019 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| RICHARD ODENTHAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2017 | 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 | 7/1/2012 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| S MADISON MGT CO., LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/1/2017 | Private equity company: No Real estate investment trust: No Holding company: No |
| 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
- March 1, 2026: CHARLES STOLTZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SCOTT T SMITH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KYLE SPRUNGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KYLE SPRUNGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DANE E WHEELER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DANE E WHEELER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JENNIFER CAMPBELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SCOTT T SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: S MADISON MGT CO., LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: S MADISON MGT CO., LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KYLE SPRUNGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BLUE MANAGEMENT SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CANDICE BORNE-BAUMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CANDICE BORNE-BAUMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PRAGNESHKUMAR N RADADIYA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 5, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PRAGNESHKUMAR N RADADIYA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 12, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVID MCINTIRE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVID MCINTIRE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: RUSSELL W FLUECKIGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: RUSSELL W FLUECKIGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DANE E WHEELER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LARRY MACKLIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LARRY MACKLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: OMEGA HEALTHCARE INVESTORS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JAKOB BARBOUR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 20, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JAKOB BARBOUR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 20, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SCOTT E LEHMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SCOTT E LEHMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: OMG IN MSTR LSCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 5, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ADAMS COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: FIRST BANK OF BERNE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- April 14, 2023: JENNIFER CAMPBELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: KYLE SPRUNGER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: KYLE SPRUNGER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
Recent changes on this record
- March 1, 2026: CHARLES STOLTZ no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SCOTT T SMITH no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KYLE SPRUNGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KYLE SPRUNGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DANE E WHEELER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DANE E WHEELER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JENNIFER CAMPBELL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SCOTT T SMITH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: S MADISON MGT CO., LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: S MADISON MGT CO., LLC (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: KYLE SPRUNGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: BLUE MANAGEMENT SERVICES LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CANDICE BORNE-BAUMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: CANDICE BORNE-BAUMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PRAGNESHKUMAR N RADADIYA (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 5, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: PRAGNESHKUMAR N RADADIYA (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 12, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVID MCINTIRE (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DAVID MCINTIRE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2019. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: RUSSELL W FLUECKIGER (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: RUSSELL W FLUECKIGER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: DANE E WHEELER (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LARRY MACKLIN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: LARRY MACKLIN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: OMEGA HEALTHCARE INVESTORS INC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since September 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JAKOB BARBOUR (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 20, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: JAKOB BARBOUR (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since December 20, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SCOTT E LEHMAN (MANAGING CONTROL - GOVERNING BODY) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: SCOTT E LEHMAN (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 14, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: OMG IN MSTR LSCO LLC (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 5, 2026. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: ADAMS COUNTY MEMORIAL HOSPITAL (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since July 1, 2012. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- March 1, 2026: FIRST BANK OF BERNE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on March 1, 2026; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-03-01.csv
- August 28, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- August 29, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- August 31, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- April 14, 2023: JENNIFER CAMPBELL no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: KYLE SPRUNGER (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since August 1, 2017. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- April 14, 2023: KYLE SPRUNGER (OFFICER) first listed in CMS’s Medicare enrollment ownership file on April 14, 2023; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2023-04-14.csv
- September 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 26, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- April 22, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 5, 2025 | December 5, 2025 | 2 | 8 |
| 2 | November 13, 2024 | November 13, 2024 | 4 | 8 |
| 3 | February 2, 2024 | February 2, 2024 | 21 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
27 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| December 5, 2025 | 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. | E | No | Deficient, Provider has date of correction | December 23, 2025 |
| December 5, 2025 | Health | F 0693 | Quality of Life and Care Deficiencies | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | No | Deficient, Provider has date of correction | December 23, 2025 |
| April 23, 2025 | 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. | J | Yes | Past Non-Compliance | April 14, 2025 |
| November 13, 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 | December 13, 2024 |
| November 13, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | December 13, 2024 |
| November 13, 2024 | Health | F 0814 | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. | C | No | Deficient, Provider has date of correction | December 13, 2024 |
| August 20, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | August 28, 2024 |
| August 20, 2024 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Yes | Deficient, Provider has date of correction | August 28, 2024 |
| August 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. | D | Yes | Deficient, Provider has date of correction | August 28, 2024 |
| August 2, 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| August 2, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| August 2, 2024 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| August 2, 2024 | Health | F 0625 | Resident Rights Deficiencies | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| August 2, 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 | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| July 17, 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | August 28, 2024 |
| July 17, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| July 17, 2024 | Health | F 0742 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | D | Yes | Deficient, Provider has date of correction | August 12, 2024 |
| July 17, 2024 | Health | F 0835 | Administration Deficiencies | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | D | Yes | Deficient, Provider has date of correction | August 12, 2024 |
| July 5, 2024 | 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 | Yes | Deficient, Provider has date of correction | August 2, 2024 |
| June 17, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | G | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| June 17, 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 | Yes | Deficient, Provider has date of correction | August 28, 2024 |
| June 17, 2024 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Yes | Deficient, Provider has date of correction | August 2, 2024 |
| June 17, 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | Yes | Deficient, Provider has date of correction | August 27, 2024 |
| March 15, 2024 | Health | F 0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | D | Yes | Deficient, Provider has date of correction | April 5, 2024 |
| February 2, 2024 | Health | F 0698 | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | No | Deficient, Provider has date of correction | February 26, 2024 |
| February 2, 2024 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | No | Deficient, Provider has date of correction | February 26, 2024 |
| February 2, 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 | February 26, 2024 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
| Penalty date | Type | Fine amount | Payment denial began | Payment denial, days | Fine ID |
|---|---|---|---|---|---|
| April 23, 2025 | Fine | $12,428 | 133815 | ||
| June 17, 2024 | Payment Denial | August 27, 2024 | 1 |
From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.
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 | 2010-07-13 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Marion |
| Telephone Number | 3177883000 |
| Chain Name | COMMUNICARE HEALTH |
| Chain ID | 153 |
| 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 | 88 |
| Average Number of Residents per Day | 70.9 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
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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 HAWTHORNE HEALTHCARE CENTER
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 155780.