Skilled nursing facility · CMS certification number 365742
NATIONAL CHURCH RESIDENCES BRISTOL VILLAGE
WAVERLY, Ohio · Medicare and Medicaid
Certified beds, as filed in Care Compare: 40
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 December 5, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,754,404 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,704,549 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,049,855 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,941,700 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$891,845 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$60,428 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$952,273 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$952,273 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 14,640 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,210 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,206 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 5,377 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 12,793 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 39 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 93 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 147 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 413.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 87.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1443778, 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 June 20, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,753,225 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,020,312 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,732,913 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,851,891 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,118,978 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $262,294 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$856,684 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$856,684 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,685 | 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 | 30.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 580.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1385221, 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 21, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,651,573 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,251,353 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,400,220 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,684,099 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,283,879 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $163,404 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,120,475 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,120,475 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,553 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 39.17 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 266 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 106.97 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1359514, 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 March 30, 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,115,302 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,816,862 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,298,440 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,401,813 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,103,373 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $693,801 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$409,572 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$409,572 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 11,929 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 75 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.72 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,205.67 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 159.05 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1345232, 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 December 23, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,550,816 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,373,985 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,176,831 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,810,775 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,633,944 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $669,343 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$964,601 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$964,601 (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 | 40 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,049 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 139 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.86 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 258.11 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 115.46 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1338967, 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 February 18, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,960,895 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,137,108 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,823,787 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,638,828 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$815,041 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $118,405 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$696,636 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$696,636 (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 | 57 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,620 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 224 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 425.92 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 83.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1280350, 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 January 16, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,820,315 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,778,823 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,041,492 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,748,951 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$707,459 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,648 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$691,811 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$691,811 (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 | 67 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,917 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 325 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.97 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 283.82 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 58.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1249491, 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 March 14, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,757,342 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,744,558 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,012,784 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,469,755 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$456,971 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $35,686 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$421,285 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$421,285 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,294 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 347 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 30.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 225.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 70.01 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1221213, 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 December 7, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,468,521 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,503,326 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,965,195 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,473,668 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$508,473 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$46,853 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$555,326 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$555,326 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,866 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 302 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.53 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.83 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 82.34 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1179475, 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 January 17, 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,072,625 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,025,091 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,047,534 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,440,013 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$392,479 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,297 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$386,182 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$386,182 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,571 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 314 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 186.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 78.25 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1151247, 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 March 31, 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,168,615 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,221,211 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,947,404 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,832,775 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$885,371 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,382 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$882,989 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$882,989 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,683 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 312 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.98 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 210.73 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.11 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1121549, 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 December 10, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $12,259,647 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $5,767,585 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,492,062 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,063,300 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$571,238 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $60,719 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$510,519 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$510,519 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,247 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 256 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 717.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 98.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1114448, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended December 31, 2012
Cost report for January 1, 2012 to December 31, 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on November 5, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $11,145,157 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,527,544 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,617,613 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,844,954 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$227,341 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,831 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$204,510 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$204,510 (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 | 75 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,497 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 272 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.71 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 791.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 93.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1049907, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended December 31, 2011
Cost report for January 1, 2011 to December 31, 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on May 2, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,660,343 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,192,785 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,467,558 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,755,387 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$287,829 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $15,919 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$271,910 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$271,910 (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 | 126 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 25,477 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 25,757 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,271.6 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 0.99 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1028538, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended December 31, 2010
Cost report for January 1, 2010 to December 31, 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on August 13, 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,724,774 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,834,432 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$109,658 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,456 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$9,614 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$97,588 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,887 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 311 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 625.76 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 80.02 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 431536, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 21, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,685,167 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,445,985 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $239,182 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $239,187 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,154 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 319 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.57 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 546.18 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 75.72 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 394204, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on April 19, 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $6,242,280 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,919,181 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $323,099 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $927 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $324,026 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,874 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 308 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.42 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 305.35 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 77.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 434408, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended December 31, 2007
Cost report for January 1, 2007 to December 31, 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on February 11, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,535,577 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,330,600 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $204,977 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: $204,977 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,362 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 221 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 516.92 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 101.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 333442, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended December 31, 2006
Cost report for January 1, 2006 to December 31, 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 28, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,541,003 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,083,573 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $457,430 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $1,778 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $459,208 (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 | 75 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,542 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 299 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.98 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 271.73 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 75.39 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 305802, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended December 31, 2005
Cost report for January 1, 2005 to December 31, 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 1, 2007.
None of these figures is carried on this report.
CMS report record 277533, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 1, 2004 to December 31, 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on February 23, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,087,107 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,065,328 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $21,779 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $138,424 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $160,203 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,841 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 123 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 419.3 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 145.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 243505, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended December 31, 2003
Cost report for January 1, 2003 to December 31, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on March 16, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,964,803 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,844,616 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $120,187 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,150 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $34,540 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $90,797 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,632 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 169 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.4 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 253.15 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 104.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 211318, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended December 31, 2002
Cost report for January 1, 2002 to December 31, 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on October 29, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,290,338 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,183,458 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $106,880 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$27,684 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $79,196 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,308 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 141 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 345.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 122.75 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 162412, read from the public cost report file SNFFY2002.zip.
Fiscal year 2001, ended December 31, 2001
Cost report for January 1, 2001 to December 31, 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on April 7, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,879,744 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,092,487 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$212,743 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,129 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$172,614 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 16,864 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 154 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.27 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 344.39 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 109.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 142320, read from the public cost report file SNFFY2001.zip.
Fiscal year 2000, ended December 31, 2000
Cost report for January 1, 2000 to December 31, 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on March 18, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,753,297 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,881,935 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$128,638 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$16,151 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $66,183 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: −$210,972 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,165 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 159 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 414.19 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 107.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 133354, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended December 31, 1999
Cost report for January 1, 1999 to December 31, 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on September 13, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,509,943 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,406,243 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $103,700 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$13,232 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $90,468 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,791 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 91 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 25.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 786.41 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 195.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 47624, read from the public cost report file SNFFY1999.zip.
Fiscal year 1998, ended December 31, 1998
Cost report for January 1, 1998 to December 31, 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on July 29, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,090,600 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,657,217 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $433,383 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $76,013 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $7,293 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income: $502,103 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 50 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 17,623 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 178 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 48.89 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 309.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 99.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 47622, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for January 1, 1997 to December 31, 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on June 15, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,629,168 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,127,365 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$498,197 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,302 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$490,895 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,682 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.59 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 614.11 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 494.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 47619, read from the public cost report file SNFFY1997.zip.
Fiscal year 1996, ended December 31, 1996
Cost report for January 1, 1996 to December 31, 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on August 31, 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,830,063 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,707,999 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $122,064 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $64,452 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $186,516 (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 | 100 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,581 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 84.82 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 2,209.8 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 340.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 43226, read from the public cost report file SNFFY1996.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 |
|---|---|---|---|---|
| NATIONAL CHURCH RESIDENCES | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 12/12/1991 |
| CLEMMONS, AMY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/21/2025 |
| KESSLER, DAVID | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/07/2025 |
| NATIONAL CHURCH RESIDENCES HEALTH CARE | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/02/2019 |
| ALEXANDER, SEAN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| ANDERSON, DENISE | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| BROWN, SONYA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2025 |
| KESSLER, DAVID | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 03/07/2017 |
| MEYUNG, KELLI | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/01/2024 |
| RULE, MATTHEW | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2021 |
| STITZER, PARKER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2024 |
| DEHRING, LINDSEY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/01/2024 |
| METTLER, BRIANNA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2020 |
| WOOLLEY, JULIE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2021 |
| CLEMMONS, AMY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| NATIONAL CHURCH RESIDENCES HEALTH CARE | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/02/2019 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of WAVERLY CARE CENTER INC (enrollment ID O20090522000097).
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 |
|---|---|---|---|---|---|
| NATIONAL CHURCH RESIDENCES | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/12/1991 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMY CLEMMONS | Individual | ADP OF THE SNF | Not stated in the filing | 7/21/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DAVID KESSLER | Individual | ADP OF THE SNF | Not stated in the filing | 1/7/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATIONAL CHURCH RESIDENCES HEALTH CARE | Organization | ADP OF THE SNF | Not stated in the filing | 7/2/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| DAVID KESSLER | Individual | CORPORATE DIRECTOR | Not stated in the filing | 3/7/2017 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| DENISE N. ANDERSON | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| KELLI MEYUNG | Individual | CORPORATE DIRECTOR | Not stated in the filing | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| MATTHEW RULE | Individual | CORPORATE DIRECTOR | 0 | 1/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| PARKER STITZER | Individual | CORPORATE DIRECTOR | 0 | 1/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SEAN ALEXANDER | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| SONYA BROWN | Individual | CORPORATE DIRECTOR | 0 | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BRIANNA METTLER | Individual | CORPORATE OFFICER | 0 | 1/1/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JULIE WOOLLEY | Individual | CORPORATE OFFICER | Not stated in the filing | 5/1/2021 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| LINDSEY DEHRING | Individual | CORPORATE OFFICER | 0 | 7/1/2024 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| AMY CLEMMONS | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 1/1/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| NATIONAL CHURCH RESIDENCES HEALTH CARE | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/2/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- October 1, 2025: JANET MEEKS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JAMI DEWOLF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PETER PAVARINI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LARRY CROWELL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ALTHEA BROUGHTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AMY CLEMMONS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TIM DONEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DENISE N. ANDERSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SONYA BROWN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SEAN ALEXANDER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AMY CLEMMONS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AMY CLEMMONS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- February 1, 2025: NATIONAL CHURCH RESIDENCES HEALTH CARE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 1990. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JULIE WOOLLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: PARKER STITZER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JANET MEEKS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BRIANNA METTLER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMI DEWOLF (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KELLI MEYUNG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: NATIONAL CHURCH RESIDENCES HEALTH CARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAVID KESSLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAVID KESSLER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since March 7, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: PETER PAVARINI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: LARRY CROWELL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: LINDSEY DEHRING (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MATTHEW RULE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: NATIONAL CHURCH RESIDENCES (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 12, 1991. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ALTHEA BROUGHTON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: AMY CLEMMONS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: TIM DONEY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- November 1, 2024: AL RUPIPER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JULIA FRATIANNE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: DEBORAH RUSSELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: RALPH STRICKLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: NATIONAL CHURCH RESIDENCES HEALTH CARE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SUSAN DIMICKELE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JULIE WOOLLEY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: STEVEN NEAL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: ROBERT WALTER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: RANDAL BENNER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: MARK THOMPSON no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: VAL FRANCES no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: NATIONAL CHURCH RESIDENCES no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
Recent changes on this record
- December 5, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- October 1, 2025: JANET MEEKS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: JAMI DEWOLF no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: PETER PAVARINI no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: LARRY CROWELL no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: ALTHEA BROUGHTON no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AMY CLEMMONS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: TIM DONEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: DENISE N. ANDERSON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SONYA BROWN (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: SEAN ALEXANDER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AMY CLEMMONS (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since July 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- October 1, 2025: AMY CLEMMONS (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on October 1, 2025; associated with this enrollment since January 1, 2025. Skilled_Nursing_Facility_All_Owners_:_2025-10-01.csv
- February 1, 2025: NATIONAL CHURCH RESIDENCES HEALTH CARE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 1990. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JULIE WOOLLEY (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since May 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: PARKER STITZER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JANET MEEKS (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: BRIANNA METTLER (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2020. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: JAMI DEWOLF (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2023. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: KELLI MEYUNG (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: NATIONAL CHURCH RESIDENCES HEALTH CARE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAVID KESSLER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: DAVID KESSLER (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since March 7, 2017. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: PETER PAVARINI (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2018. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: LARRY CROWELL (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: LINDSEY DEHRING (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since July 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: MATTHEW RULE (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2021. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: NATIONAL CHURCH RESIDENCES (5% OR GREATER DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since December 12, 1991. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: ALTHEA BROUGHTON (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2024. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: AMY CLEMMONS (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2016. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- February 1, 2025: TIM DONEY (CORPORATE DIRECTOR) first listed in CMS’s Medicare enrollment ownership file on February 1, 2025; associated with this enrollment since January 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2025-02-01.csv
- November 1, 2024: AL RUPIPER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JULIA FRATIANNE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: DEBORAH RUSSELL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: RALPH STRICKLAND no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: NATIONAL CHURCH RESIDENCES HEALTH CARE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: SUSAN DIMICKELE no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: JULIE WOOLLEY no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: STEVEN NEAL no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
- November 1, 2024: ROBERT WALTER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-11-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | April 7, 2026 | April 7, 2026 | 0 | 4 |
| 2 | October 9, 2024 | October 9, 2024 | 0 | 2 |
| 3 | November 17, 2022 | November 17, 2022 | 6 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
6 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| November 7, 2023 | Health | F 0610 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. | D | Yes | Deficient, Provider has date of correction | December 8, 2023 |
| November 7, 2023 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | Yes | Deficient, Provider has date of correction | December 8, 2023 |
| November 17, 2022 | Health | F 0623 | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | No | Deficient, Provider has date of correction | January 5, 2023 |
| November 17, 2022 | Health | F 0644 | Resident Assessment and Care Planning Deficiencies | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | No | Deficient, Provider has date of correction | January 5, 2023 |
| November 17, 2022 | Health | F 0646 | Resident Assessment and Care Planning Deficiencies | Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | D | No | Deficient, Provider has date of correction | January 5, 2023 |
| November 17, 2022 | Health | F 0812 | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | No | Deficient, Provider has date of correction | January 5, 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 | Non profit - Corporation |
| Legal Business Name | WAVERLY CARE CENTER INC |
| Date First Approved to Provide Medicare and Medicaid Services | 1989-06-29 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | N |
| County/Parish | Pike |
| Telephone Number | 7409472113 |
| 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 | 40 |
| Average Number of Residents per Day | 33.2 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 4 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on NATIONAL CHURCH RESIDENCES BRISTOL VILLAGE: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On December 5, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for NATIONAL CHURCH RESIDENCES BRISTOL VILLAGE
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Ohio 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 365742.