Skilled nursing facility · CMS certification number 155792
COUNTRYSIDE MEADOWS
AVON, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 171
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 October 10, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,879,498 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $941,986 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $19,937,512 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $17,462,096 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $2,475,416 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $234,811 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,710,227 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,710,227 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 62,586 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 2,242 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 35,247 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,807 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 47,296 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 132 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 193 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 109 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 434 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 182.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 108.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440424, 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 | $15,945,080 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$443,369 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $16,388,449 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,451,912 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$63,463 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,881,358 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $2,817,895 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $2,817,895 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 48,296 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 415 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 192.16 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395507, 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 July 23, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $14,190,114 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$245,041 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,435,155 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,105,787 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,670,632 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $83,492 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,587,140 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,587,140 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 43,475 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 440 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 21.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 188.63 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1390040, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 7, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $13,163,359 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $407,773 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $12,755,586 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,239,319 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,483,733 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,901 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,460,832 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,460,832 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 39,586 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 397 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 28.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 212.32 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1337553, 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 23, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $15,353,365 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $380,241 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,973,124 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $16,949,097 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,975,973 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,195,035 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$780,938 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$780,938 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 45,738 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 386 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 242.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 118.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1316605, 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 May 7, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $16,392,979 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,931,107 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,461,872 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,831,808 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,369,936 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,808 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,358,128 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,358,128 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 51,782 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 425 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 190.09 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 121.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283542, 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 12, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $17,030,286 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,972,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $15,057,974 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,842,017 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$784,043 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,252 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$765,791 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$765,791 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 55,260 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 433 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 167.03 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240426, 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 | $17,297,412 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,668,063 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,629,349 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $15,235,581 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$606,232 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,118 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$594,114 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$594,114 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 54,807 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 294 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 463.61 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 186.42 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1207930, 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 26, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,546,724 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $7,362,696 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,184,028 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,964,179 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$780,151 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,786 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$766,365 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$766,365 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 53,580 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 370 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 199.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170829, 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 3, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,255,984 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,460,402 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $13,795,582 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,347,746 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$552,164 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $19,604 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$532,560 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$532,560 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,931 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 385 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 52.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 192.69 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.29 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139458, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended December 31, 2014
Cost report for January 1, 2014 to December 31, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on July 24, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $20,560,594 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,792,878 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,767,716 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $14,422,795 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $344,921 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $32,995 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $377,916 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $377,916 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 52,122 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 433 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 48.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 120.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1103705, 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 12, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $21,188,069 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $6,867,038 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $14,321,031 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $13,663,303 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $657,728 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $45,755 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $703,483 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $703,483 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 50,784 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 466 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 108.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1075723, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for August 1, 2012 to December 31, 2012 — a reporting period of 152 days, not a full year, on form CMS-2540-10, settled, processed by CMS on August 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,674,956 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,604,973 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,069,983 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,124,436 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$54,453 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,939 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$32,514 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$32,514 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,227 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 180 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 106.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1046984, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for July 11, 2011 to December 31, 2011 — a reporting period of 173 days, not a full year, on form CMS-2540-10, settled, processed by CMS on November 2, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,572,704 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,716,710 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,855,994 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,697,270 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,841,276 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,316 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$2,822,960 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,822,960 (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 | 171 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 9,562 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 484.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 258.43 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1018379, read from the public cost report file SNF10FY2011.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 |
|---|---|---|---|---|
| AHMAD, AYAZ | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/29/2026 |
| AMERICAN SENIOR COMMUNITIES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/29/2026 |
| DICE, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2023 |
| RAUCH, KARSEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/29/2026 |
| SHANE, ANDREW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2023 |
| VAN CAMP, STEVEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2023 |
| DRUMMER, CARL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2017 |
| HANIFY, THOMAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2022 |
| HORN, BRENDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2023 |
| LAZARD, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/29/2021 |
| MANTRAVADI, GEETA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/21/2021 |
| PAYNE, MONICA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/09/2021 |
| BABCOCK, PAUL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/30/2020 |
| CAINE, VIRGINIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/10/1994 |
| HARRIS, LISA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/22/2003 |
| AHMAD, AYAZ | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/05/2025 |
| AMERICAN SENIOR COMMUNITIES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/01/2012 |
| DICE, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2023 |
| ELLIOTT, TIFFANY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/02/2022 |
| RAUCH, KARSEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/03/2024 |
| SHANE, ANDREW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2023 |
| VAN CAMP, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2023 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY (enrollment ID O20120928000519).
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 |
|---|---|---|---|---|---|
| THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 8/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMERICAN SENIOR COMMUNITIES LLC | Organization | ADP OF THE SNF | Not stated in the filing | 5/29/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW SHANE | Individual | ADP OF THE SNF | Not stated in the filing | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AYAZ AHMAD | Individual | ADP OF THE SNF | Not stated in the filing | 5/29/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KARSEN RAUCH | Individual | ADP OF THE SNF | Not stated in the filing | 5/29/2026 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK DICE | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN VAN CAMP | Individual | ADP OF THE SNF | Not stated in the filing | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRENDA HORN | Individual | CORPORATE DIRECTOR | Not stated in the filing | 12/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| CARL L DRUMMER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| GEETA MANTRAVADI | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/21/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MONICA PAYNE | Individual | CORPORATE DIRECTOR | Not stated in the filing | 8/9/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| ROBERT W LAZARD | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/29/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| THOMAS HANIFY | Individual | CORPORATE DIRECTOR | Not stated in the filing | 1/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PAUL T BABCOCK | Individual | CORPORATE OFFICER | Not stated in the filing | 9/30/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| VIRGINIA A CAINE | Individual | CORPORATE OFFICER | Not stated in the filing | 1/10/1994 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LISA E HARRIS | Individual | OFFICER | Not stated in the filing | 12/22/2003 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMERICAN SENIOR COMMUNITIES LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 8/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| ANDREW SHANE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 2/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AYAZ AHMAD | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/5/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KARSEN RAUCH | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/3/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MARK DICE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| STEVEN VAN CAMP | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 6/1/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TIFFANY ELLIOTT | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/2/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- July 1, 2026: TARA MCGLOTHLIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEVEN A VAN CAMP no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AMERICAN SENIOR COMMUNITIES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANDREW SHANE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANDREW SHANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KARSEN RAUCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KARSEN RAUCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARK DICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARK DICE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEVEN VAN CAMP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEVEN VAN CAMP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AYAZ AHMAD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AYAZ AHMAD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 5, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- May 1, 2024: DONNA G KELSEY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: GREGORY S FEHRIBACH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BEVERLY MUKES-GAITHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BRENDA HORN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
Recent changes on this record
- July 10, 2026: A deficiency was cited under tag F 0627, scope and severity D. NH_HealthCitations_Sep2026_2.csv
- July 1, 2026: TARA MCGLOTHLIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEVEN A VAN CAMP no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AMERICAN SENIOR COMMUNITIES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANDREW SHANE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: ANDREW SHANE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since February 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KARSEN RAUCH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: KARSEN RAUCH (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 3, 2024. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARK DICE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: MARK DICE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEVEN VAN CAMP (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: STEVEN VAN CAMP (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since June 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AYAZ AHMAD appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- July 1, 2026: AYAZ AHMAD (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on July 1, 2026; associated with this enrollment since March 5, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- October 10, 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
- July 23, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- May 1, 2024: DONNA G KELSEY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: GREGORY S FEHRIBACH no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BEVERLY MUKES-GAITHER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- May 1, 2024: BRENDA HORN (DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on May 1, 2024; associated with this enrollment since December 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2024-05-01.csv
- December 7, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- May 23, 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- May 7, 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 12, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- July 26, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- August 3, 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- July 24, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- August 12, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 19, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- June 3, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- November 2, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | December 16, 2025 | December 16, 2025 | 9 | 6 |
| 2 | October 7, 2024 | October 7, 2024 | 8 | 2 |
| 3 | August 31, 2023 | August 31, 2023 | 19 | 2 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
36 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| July 10, 2026 | Health | F 0627 | Resident Rights Deficiencies | Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | D | Yes | Deficient, Provider has plan of correction | August 6, 2026 |
| March 19, 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | April 10, 2026 |
| December 16, 2025 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | January 14, 2026 |
| December 16, 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 | January 14, 2026 |
| December 16, 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 | January 14, 2026 |
| December 16, 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 | January 14, 2026 |
| December 16, 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | January 14, 2026 |
| November 10, 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. | G | Yes | Deficient, Provider has date of correction | November 19, 2025 |
| September 29, 2025 | 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 | November 19, 2025 |
| October 7, 2024 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 7, 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 | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 7, 2024 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 7, 2024 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 7, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 7, 2024 | Health | F 0689 | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | No | Deficient, Provider has date of correction | October 24, 2024 |
| October 7, 2024 | 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 | October 24, 2024 |
| October 7, 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. | E | No | Deficient, Provider has date of correction | October 24, 2024 |
| August 1, 2024 | Health | F 0578 | Resident Rights Deficiencies | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Yes | Deficient, Provider has date of correction | August 22, 2024 |
| August 1, 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 22, 2024 |
| August 1, 2024 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Yes | Deficient, Provider has date of correction | August 22, 2024 |
| August 1, 2024 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | August 22, 2024 |
| August 1, 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. | G | Yes | Deficient, Provider has date of correction | August 22, 2024 |
| August 1, 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 22, 2024 |
| June 18, 2024 | 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 | July 2, 2024 |
| January 19, 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 | Yes | Deficient, Provider has date of correction | February 16, 2024 |
| January 19, 2024 | Health | F 0760 | Pharmacy Service Deficiencies | Ensure that residents are free from significant medication errors. | D | Yes | Deficient, Provider has date of correction | February 16, 2024 |
| January 19, 2024 | Health | F 0800 | Nutrition and Dietary Deficiencies | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Yes | Deficient, Provider has date of correction | February 16, 2024 |
| August 31, 2023 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | E | No | Deficient, Provider has date of correction | September 23, 2023 |
| August 31, 2023 | 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 | September 23, 2023 |
| August 31, 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 | September 23, 2023 |
| August 31, 2023 | 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. | E | No | Deficient, Provider has date of correction | September 23, 2023 |
| August 31, 2023 | 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 23, 2023 |
| August 31, 2023 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | September 23, 2023 |
| August 31, 2023 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | September 23, 2023 |
| August 31, 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 | September 23, 2023 |
| August 31, 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | September 23, 2023 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY |
| Date First Approved to Provide Medicare and Medicaid Services | 2011-07-11 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Hendricks |
| Telephone Number | 3174957200 |
| Chain Name | AMERICAN SENIOR COMMUNITIES |
| Chain ID | 33 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | None |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 171 |
| Average Number of Residents per Day | 137.3 |
| Overall Rating | 3 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 5 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
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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 July 10, 2026: A deficiency was cited under tag F 0627, scope and severity D. That is one line of the alert.
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The citable document for COUNTRYSIDE MEADOWS
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 155792.