Skilled nursing facility · CMS certification number 265780
ADRIAN MANOR HEALTH & REHAB
ADRIAN, Missouri
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.
This certification number is not in CMS’s current Care Compare Provider Information file, processed on August 1, 2026.
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 July 1, 2019 to June 30, 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,714,457 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $482,764 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,231,693 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,755,541 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$523,848 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $275,228 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$248,620 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$248,620 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 26,352 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,023 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 8,264 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,985 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 19,272 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 23 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 44 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 69 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 187.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1279080, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2019, ended June 30, 2019
Cost report for July 1, 2018 to June 30, 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 25, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,795,291 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $421,221 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,374,070 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,447,962 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$73,892 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,389 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$65,503 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$65,503 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,253 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 188.48 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 146.57 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1246161, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2018, ended June 30, 2018
Cost report for July 1, 2017 to June 30, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 26, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,576,800 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $431,299 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,145,501 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,398,559 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$253,058 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,596 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$241,462 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$241,462 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,159 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 158 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 24.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 169.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1214263, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2017, ended June 30, 2017
Cost report for July 1, 2016 to June 30, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on November 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,850,196 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $583,213 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,266,983 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,404,298 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$137,315 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$26,775 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$164,090 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$164,090 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,525 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 186 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 180.04 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 110.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1178006, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2016, ended June 30, 2016
Cost report for July 1, 2015 to June 30, 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,717,705 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $471,603 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,246,102 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,273,333 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$27,231 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,733 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$20,498 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$20,498 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,250 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 20.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 356.22 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 168.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1150878, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2015, ended June 30, 2015
Cost report for July 1, 2014 to June 30, 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on December 17, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,204,415 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $648,938 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,555,477 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,198,139 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $357,338 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,868 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $368,206 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $368,206 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,655 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 181 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 19.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.7 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 125.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1115512, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2014, ended June 30, 2014
Cost report for July 1, 2013 to June 30, 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 14, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,866,428 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $671,067 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,195,361 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,978,162 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $217,199 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,316 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $226,515 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $226,515 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,312 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.37 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 249.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 144.06 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084399, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended June 30, 2013
Cost report for July 1, 2012 to June 30, 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on January 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,530,177 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $581,656 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,948,521 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,026,548 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$78,027 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $13,084 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$64,943 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$64,943 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,857 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 181 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 23.99 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 176.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1054526, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2012, ended June 30, 2012
Cost report for July 1, 2011 to June 30, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on January 28, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,403,548 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $464,786 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,938,762 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,116,778 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$178,016 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $18,591 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$159,425 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$159,425 (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 | 72 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,390 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 267.94 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 141.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1024153, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2011, ended June 30, 2011
Cost report for July 1, 2010 to June 30, 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 26, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,138,491 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,228,134 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$89,643 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $21,988 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$67,655 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,939 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 184 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 231.46 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 108.36 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 423937, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended June 30, 2010
Cost report for July 1, 2009 to June 30, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,110,731 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,169,435 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$58,704 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $16,351 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$42,353 (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 | 72 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,866 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.91 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 199.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 136.71 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 392910, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended June 30, 2009
Cost report for July 1, 2008 to June 30, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on December 30, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,632,915 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,004,308 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$371,393 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,684 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$360,709 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 15,666 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 133 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.11 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 340.88 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 117.79 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 361888, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended June 30, 2008
Cost report for July 1, 2007 to June 30, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 10, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,053,267 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,852,071 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $201,196 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $13,676 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $214,872 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,924 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 188 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.56 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 255.66 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333343, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended June 30, 2007
Cost report for July 1, 2006 to June 30, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,758,033 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,445,654 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $312,379 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,689 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $2 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $325,066 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,806 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 128 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 36.93 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 304.6 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 162.55 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305710, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended June 30, 2006
Cost report for July 1, 2005 to June 30, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 25, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,155,859 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,057,178 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $98,681 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,147 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $102,828 (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 | 60 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,347 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 270.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 154.22 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 289061, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended June 30, 2005
Cost report for July 1, 2004 to June 30, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on January 20, 2006.
None of these figures is carried on this report.
CMS report record 240839, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended June 30, 2004
Cost report for February 19, 2004 to June 30, 2004 — a reporting period of 132 days, not a full year, on form CMS-2540-96, settled, processed by CMS on December 1, 2004.
None of these figures is carried on this report.
CMS report record 201084, read from the public cost report file SNFFY2004.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
Not listed in CMS’s Care Compare data.
Medicare enrollment
No owner listed for this facility in CMS’s Medicare enrollment ownership data.
Changes in ownership
No change in ownership appears in CMS’s ownership data for this facility.
Recent changes on this record
- January 27, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2019.zip
- November 25, 2019: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2018.zip
- November 26, 2018: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2017.zip
- November 7, 2017: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2016.zip
- January 17, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2015.zip
- December 17, 2015: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2014.zip
- January 14, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2013.zip
- January 27, 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2012.zip
- January 28, 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2011.zip
- January 26, 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2010.zip
- January 20, 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2009.zip
- December 30, 2009: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2008.zip
- February 10, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2007.zip
- March 28, 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2006.zip
- July 25, 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2005.zip
- January 20, 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2004.zip
- December 1, 2004: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
Inspections
Not listed in CMS’s Care Compare data.
Deficiencies cited
Not listed in CMS’s Care Compare data.
Penalties
Not listed in CMS’s Care Compare data.
Care Compare provider information
Not listed in CMS’s Care Compare data.
Get an email when this record changes
One email a day naming what moved on ADRIAN MANOR HEALTH & REHAB: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On January 27, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. That is one line of the alert.
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The citable document for ADRIAN MANOR HEALTH & REHAB
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 Missouri 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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- WHISTLE READY MIX (PORT-0864), PLEASANT HILL Air emission source
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 265780.