Skilled nursing facility · CMS certification number 375302
BLUE RIVER HEALTHCARE, INC
TISHOMINGO, Oklahoma · Medicare and Medicaid
Certified beds, as filed in Care Compare: 70
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 March 19, 2026.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,709,592 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$525,941 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,235,533 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,956,683 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $278,850 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,032 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $284,882 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $284,882 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 25,620 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 715 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 13,635 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 2,789 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,139 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 10 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 37 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 71.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 802.06 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 463.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1448645, read from the public cost report file SNF10FY2024.zip.
Fiscal year 2023, ended December 31, 2023
Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 11, 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,395,997 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$281,159 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,677,156 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,067,933 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$390,777 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,029,672 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $638,895 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $638,895 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,644 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 32 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,170.64 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 520.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1439139, 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 April 10, 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,464,902 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$587,109 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,052,011 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,198,297 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$146,286 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $522,903 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $376,617 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $376,617 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,586 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 36 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 815.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 432.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1375993, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended December 31, 2021
Cost report for January 1, 2021 to December 31, 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 16, 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,045,821 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$383,140 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,428,961 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,682,505 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$253,544 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $440,722 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $187,178 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $187,178 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,214 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 447.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 277.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1331205, 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 September 30, 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,535,526 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$140,936 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,676,462 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,467,092 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $209,370 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $377,148 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $586,518 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $586,518 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,537 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 8 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 16.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 1,942.13 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1301525, 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 September 17, 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $2,320,587 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,320,587 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$2,320,587 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,320,587 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 161 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 2 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 80.5 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 80.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1268518, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended December 31, 2018
Cost report for January 1, 2018 to December 31, 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 26, 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $2,328,330 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,328,330 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$2,328,330 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,328,330 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 92 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 1 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1242339, read from the public cost report file SNF10FY2018.zip.
Fiscal year 2017, ended December 31, 2017
Cost report for January 1, 2017 to December 31, 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 21, 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $2,342,671 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,342,671 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$2,342,671 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,342,671 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 230 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 13 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 17.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 17.69 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1208129, 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 September 14, 2017.
None of these figures is carried on this report.
CMS report record 1175881, read from the public cost report file SNF10FY2016.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 August 19, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $2,951,708 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$2,951,708 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$2,951,708 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$2,951,708 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 503 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 11 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.73 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 45.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1108206, 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 15, 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $3,006,572 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,006,572 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$3,006,572 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,006,572 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 1,188 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 25 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 47.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 47.52 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1114978, 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 26, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $3,167,842 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,167,842 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$3,167,842 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,167,842 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 1,144 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 23 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 49.74 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1081015, 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 February 25, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $3,214,331 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$3,214,331 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Net income after other income | −$3,214,331 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$3,214,331 (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 | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 1,764 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 40 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 44.1 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055970, 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 January 27, 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $3,341,189 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,341,189 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$3,341,189 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 2,729 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 46 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 59.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435478, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended December 31, 2009
Cost report for January 1, 2009 to December 31, 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on June 17, 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $3,130,495 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$3,130,495 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$3,130,495 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 1,835 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 39 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 47.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 405566, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended December 31, 2008
Cost report for January 1, 2008 to December 31, 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on July 14, 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $2,851,265 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,851,265 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$2,851,265 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 1,604 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 58 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.66 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 27.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 349699, 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 July 23, 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $2,851,265 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,851,265 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$2,851,265 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 1,506 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 47 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.04 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 32.04 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 319397, 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 July 26, 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $2,483,091 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,483,091 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$2,483,091 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 2,016 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 289788, 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 June 16, 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $2,750,372 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,750,372 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$2,750,372 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 1,955 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 22.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 22.47 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 254173, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended December 31, 2004
Cost report for January 27, 2004 to December 31, 2004 — a reporting period of 339 days, on form CMS-2540-96, settled, processed by CMS on November 2, 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total operating expenses | $2,184,375 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,184,375 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$2,184,375 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 1,510 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 55 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.45 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 27.45 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 235926, read from the public cost report file SNFFY2004.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 July 1, 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,935,041 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,937,199 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$2,158 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $2,157 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$1 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 19,509 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 37.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 609.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 186250, 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 | $1,889,794 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,693,549 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $196,245 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $4,845 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $201,090 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,338 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 31 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 29.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 656.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 141655, 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 February 12, 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,673,432 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,685,239 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$11,807 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,779 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: −$6,028 (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 | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,291 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 29 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 768.66 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 121868, 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 October 2, 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,745,109 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,568,080 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $177,029 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,507 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $186,536 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,202 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 62 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 27.43 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 666.38 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 358.1 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51006, 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, as submitted, processed by CMS on January 18, 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,539,543 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,461,437 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $78,106 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $3,718 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income: $81,824 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,872 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | 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 | 728.14 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 425.96 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51005, read from the public cost report file SNFFY1998.zip.
Fiscal year 1997, ended December 31, 1997
Cost report for May 1, 1997 to December 31, 1997 — a reporting period of 244 days, not a full year, on form CMS-2540-96, settled, processed by CMS on November 3, 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $916,955 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $978,404 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$61,449 | CMS-2540-96 worksheet G300000 line 500 column 100 |
Net income: −$61,449 (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 | 74 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 13,570 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 32 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 23.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 878.13 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 424.06 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 51003, read from the public cost report file SNFFY1997.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 |
|---|---|---|---|---|
| BLUE RIVER HEALTHCARE INC. | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/21/2025 |
| COBLE, TOM | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/23/2020 |
| DIXSON, JAMES | ADP OF THE SNF | Individual | NOT APPLICABLE | since 07/01/2022 |
| LODES, JASON | ADP OF THE SNF | Individual | NOT APPLICABLE | since 03/06/2023 |
| MCGLAMERY, DENA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/06/2025 |
| COBLE, TOM | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/23/2020 |
| LODES, JASON | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 03/06/2023 |
| BLUE RIVER HEALTHCARE INC. | DIRECT OWNERSHIP INTEREST | Organization | NOT APPLICABLE | since 11/21/2022 |
| COBLE, TOM | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 12/23/2020 |
| BLUE RIVER HEALTHCARE INC. | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/21/2022 |
| COBLE, TOM | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/23/2020 |
| DIXSON, JAMES | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/01/2022 |
| LODES, JASON | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 03/06/2023 |
| MCGLAMERY, DENA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/06/2025 |
Medicare enrollment
As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BLUE RIVER HEALTHCARE INC. (enrollment ID O20040517001208).
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 |
|---|---|---|---|---|---|
| TOM CARL COBLE | Individual | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 12/23/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BLUE RIVER HEALTHCARE INC. | Organization | ADP OF THE SNF | Not stated in the filing | 11/21/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DENA MCGLAMERY | Individual | ADP OF THE SNF | Not stated in the filing | 9/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES DIXSON | Individual | ADP OF THE SNF | Not stated in the filing | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON LODES | Individual | ADP OF THE SNF | Not stated in the filing | 3/6/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TOM CARL COBLE | Individual | ADP OF THE SNF | Not stated in the filing | 12/23/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 11/18/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Organization | ADP OF THE SNF | Not stated in the filing | 11/18/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| No owner named in the filing | Individual | ADP OF THE SNF | 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 |
| JASON LODES | Individual | CORPORATE OFFICER | Not stated in the filing | 3/6/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TOM CARL COBLE | Individual | CORPORATE OFFICER | 100 | 12/23/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BLUE RIVER HEALTHCARE INC. | Organization | DIRECT OWNERSHIP INTEREST | 100 | 11/21/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| TOM CARL COBLE | Individual | INDIRECT OWNERSHIP INTEREST | 100 | 12/23/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| BLUE RIVER HEALTHCARE INC. | Organization | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 11/21/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| DENA MCGLAMERY | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 9/6/2025 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JAMES DIXSON | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 7/1/2022 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| JASON LODES | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 3/6/2023 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
| TOM CARL COBLE | Individual | OPERATIONAL/MANAGERIAL CONTROL | Not stated in the filing | 12/23/2020 | Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS |
Changes in ownership
- January 1, 2026: TOM CARL COBLE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHELIA ISENBERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JASON LODES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JASON LODES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JASON LODES (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DENA MCGLAMERY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DENA MCGLAMERY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BLUE RIVER HEALTHCARE INC. (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BLUE RIVER HEALTHCARE INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BLUE RIVER HEALTHCARE INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 18, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES DIXSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES DIXSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TOM CARL COBLE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TOM CARL COBLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TOM CARL COBLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TOM CARL COBLE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- September 15, 2023: BLUE RIVER HEALTHCARE INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- January 1, 2023: KENNETH WALKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: KENNETH WALKER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: ARLENE CRUMB no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: ALANDRA NEEDHAM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: CORY EUGUENE SHERFIELD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: SHELIA ISENBERG (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since September 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- March 19, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- January 1, 2026: TOM CARL COBLE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: SHELIA ISENBERG no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JASON LODES (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JASON LODES (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JASON LODES (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since March 6, 2023. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DENA MCGLAMERY (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: DENA MCGLAMERY (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since September 6, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BLUE RIVER HEALTHCARE INC. (DIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BLUE RIVER HEALTHCARE INC. (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 21, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: BLUE RIVER HEALTHCARE INC. (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 21, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: A listing under ADP OF THE SNF, with no owner named, first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since November 18, 2025. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES DIXSON (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: JAMES DIXSON (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since July 1, 2022. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TOM CARL COBLE (INDIRECT OWNERSHIP INTEREST) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TOM CARL COBLE (ADP OF THE SNF) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TOM CARL COBLE (OPERATIONAL/MANAGERIAL CONTROL) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- January 1, 2026: TOM CARL COBLE (CORPORATE OFFICER) first listed in CMS’s Medicare enrollment ownership file on January 1, 2026; associated with this enrollment since December 23, 2020. Skilled_Nursing_Facility_All_Owners_:_2026-01-01.csv
- September 11, 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- April 10, 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- September 15, 2023: BLUE RIVER HEALTHCARE INC. no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-09-15.csv
- January 1, 2023: KENNETH WALKER no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: KENNETH WALKER no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: ARLENE CRUMB no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: ALANDRA NEEDHAM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: CORY EUGUENE SHERFIELD no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- January 1, 2023: SHELIA ISENBERG (W-2 MANAGING EMPLOYEE) first listed in CMS’s Medicare enrollment ownership file on January 1, 2023; associated with this enrollment since September 15, 2021. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- September 16, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- September 30, 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- September 17, 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- August 26, 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- August 21, 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- September 14, 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- December 15, 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- August 19, 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- November 26, 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- February 25, 2014: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- January 27, 2014: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- June 17, 2011: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- July 14, 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | August 29, 2024 | August 29, 2024 | 2 | 2 |
| 2 | July 27, 2023 | July 27, 2023 | 3 | 3 |
| 3 | March 10, 2022 | March 10, 2022 | 2 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.
Deficiencies cited
8 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| September 26, 2024 | Health | F 0584 | Resident Rights Deficiencies | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Yes | Deficient, Provider has date of correction | November 1, 2024 |
| September 26, 2024 | Health | F 0600 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Yes | Deficient, Provider has date of correction | November 1, 2024 |
| August 29, 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Yes | Deficient, Provider has date of correction | October 1, 2024 |
| August 29, 2024 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Yes | Deficient, Provider has date of correction | October 1, 2024 |
| August 11, 2023 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | August 31, 2023 |
| July 27, 2023 | Health | F 0806 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | No | Deficient, Provider has date of correction | August 31, 2023 |
| March 10, 2022 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | No | Deficient, Provider has date of correction | March 29, 2022 |
| March 10, 2022 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | E | No | Deficient, Provider has date of correction | March 29, 2022 |
From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.
Penalties
No penalty on file for this facility in CMS’s Care Compare penalties data.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Individual |
| Legal Business Name | BLUE RIVER HEALTHCARE INC. |
| Date First Approved to Provide Medicare and Medicaid Services | 1997-05-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Johnston |
| Telephone Number | 5803712636 |
| Chain Name | ELMBROOK MANAGEMENT COMPANY |
| Chain ID | 198 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Number of Certified Beds | 70 |
| Average Number of Residents per Day | 36.6 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 2 |
| Long-Stay QM Rating | 2 |
| Processing Date | 2026-09-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.
Get an email when this record changes
One email a day naming what moved on BLUE RIVER HEALTHCARE, INC: 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 March 19, 2026: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.
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The citable document for BLUE RIVER HEALTHCARE, INC
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 Oklahoma 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 375302.