Velarion Records

Skilled nursing facility · CMS certification number 535022

The Legacy Living and Rehabilitation Center

Gillette, Wyoming · Medicare and Medicaid

Certified beds, as filed in Care Compare: 160

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.

CMS lists this facility as a Special Focus Facility (Care Compare Special Focus Status: SFF)

In Care Compare’s provider information: Penalties: 4 · Fines: 4 · Fines, total amount: $115,597.00 · Payment denials: 0. The most recent penalty on file: April 15, 2025, Fine, $14,505. 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 July 1, 2003 to January 31, 2004 — a reporting period of 214 days, not a full year, on form CMS-2540-96, as submitted, processed by CMS on November 1, 2004.

Revenue and expenses, fiscal year 2004
FigureAs filedWhere it comes from
Net patient revenue$4,137,148CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,322,138CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$184,990CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$132,597CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$52,393 (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.

Beds, days and discharges, fiscal year 2004
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Bed days available, all components32,250CMS-2540-96 worksheet S300001 line 900 column 200
Medicare (Title XVIII) patient days1,784CMS-2540-96 worksheet S300001 line 900 column 400
Medicaid (Title XIX) patient days17,071CMS-2540-96 worksheet S300001 line 900 column 500
Other-payer patient days9,845CMS-2540-96 worksheet S300001 line 900 column 600
Total patient days, all components28,700CMS-2540-96 worksheet S300001 line 900 column 700
Medicare discharges54CMS-2540-96 worksheet S300001 line 900 column 900
Medicaid discharges10CMS-2540-96 worksheet S300001 line 900 column 1000
Other-payer discharges27CMS-2540-96 worksheet S300001 line 900 column 1100
Total discharges, all components91CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days33.04CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,707.1CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days315.38CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 198500, read from the public cost report file SNFFY2003.zip.

Fiscal year 2003, ended June 30, 2003

Cost report for July 1, 2002 to June 30, 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on May 18, 2006.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$6,767,547CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$7,030,217CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$262,670CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$206,018CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$1CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: −$56,653 (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.

Beds, days and discharges, fiscal year 2003
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components44,803CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components142CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days43.69CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days415.7CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days315.51CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249607, read from the public cost report file SNFFY2002.zip.

Fiscal year 2002, ended June 30, 2002

Cost report for April 1, 2002 to June 30, 2002 — a reporting period of 90 days, not a full year, on form CMS-2540-96, settled, processed by CMS on September 8, 2005.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$1,677,158CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,676,360CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$798CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$45,426CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $46,224 (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.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components11,733CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components22CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44.2CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,989CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days533.32CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 232527, 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 27, 2004.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$6,979,812CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,572,085CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$407,727CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$246,229CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $653,956 (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.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components49,846CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components69CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.5CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,606.38CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days722.41CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 173129, 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 13, 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$6,009,834CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,242,313CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$232,479CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$228,655CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: −$3,824 (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.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components49,607CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components76CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days44.06CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,030.06CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days652.72CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 128239, 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 July 12, 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$6,104,598CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$6,011,961CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$92,637CMS-2540-96 worksheet G300000 line 500 column 100

Net income: $92,637 (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.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components49,406CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components76CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days80.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days844.49CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days650.08CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75087, 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 October 18, 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$6,013,788CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,927,752CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$86,036CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$190,620CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$145,107CMS-2540-96 worksheet G300000 line 3100 column 100

Net income: $131,549 (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.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components48,692CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components107CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.17CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days986.91CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days455.07CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75085, 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, settled, processed by CMS on November 12, 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$6,194,481CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,780,799CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$413,682CMS-2540-96 worksheet G300000 line 500 column 100

Net income: $413,682 (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.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components50,226CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components98CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days58.84CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days928.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days512.51CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75083, 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 October 21, 1998.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$5,821,125CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,594,918CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$226,207CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$92,134CMS-2540-96 worksheet G300000 line 2600 column 100

Net income: $318,341 (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.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components150CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components49,064CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components210CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days29.52CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days270.28CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days233.64CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 75082, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
ALEXANDER, HOLLIEADP OF THE SNFIndividualNOT APPLICABLEsince 04/01/2025
PATEL, KIRTIKUMARADP OF THE SNFIndividualNOT APPLICABLEsince 10/13/2020
POPP, DOUGLASCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/20/2023
SHAHAN, MATTHEWCORPORATE OFFICERIndividualNOT APPLICABLEsince 05/16/2022
BIGGS, ANGELAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/22/2024
HARTSAW, SARAMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 12/09/2022
HITE, RANDALMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/26/2020
MANSELL, JOHNMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/29/2022
MURPHY, TOMMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/01/2020
RICE, JOHNMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/29/2022
STUBER, ALANMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 11/01/2018
ALEXANDER, HOLLIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/01/2025
PATEL, KIRTIKUMAROPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/13/2020
POPP, DOUGLASOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/20/2023
SHAHAN, MATTHEWOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/16/2022

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of CAMPBELL COUNTY HOSPITAL DISTRICT (enrollment ID O20151026000720).

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”.

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
HOLLIE ALEXANDERIndividualADP OF THE SNFNot stated in the filing4/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KIRTIKUMAR L PATELIndividualADP OF THE SNFNot stated in the filing10/13/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DOUGLAS ADAM POPPIndividualCORPORATE OFFICERNot stated in the filing3/20/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MATTHEW SHAHANIndividualCORPORATE OFFICERNot stated in the filing5/16/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ALAN STUBERIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing11/1/2018
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
ANGELA BIGGSIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing11/22/2024
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN L MANSELLIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/29/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
JOHN WILLIAM RICEIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/29/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
RANDAL R HITEIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing10/26/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
SARA L HARTSAWIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing12/9/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
TOM MURPHYIndividualMANAGING CONTROL - GOVERNING BODYNot stated in the filing11/1/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
DOUGLAS ADAM POPPIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing3/20/2023
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
HOLLIE ALEXANDERIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing4/1/2025
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
KIRTIKUMAR L PATELIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing10/13/2020
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS
MATTHEW SHAHANIndividualOPERATIONAL/MANAGERIAL CONTROLNot stated in the filing5/16/2022
Private equity company: Paused by CMS
Real estate investment trust: Paused by CMS
Holding company: Paused by CMS

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
1March 13, 2026March 13, 202669
2September 11, 2025September 11, 20251014
3May 23, 2024May 23, 2024223

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

38 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
March 13, 2026HealthF 0627Resident Rights DeficienciesEnsure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.DYesDeficient, Provider has date of correctionApril 9, 2026
March 13, 2026HealthF 0628Resident Rights DeficienciesProvide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.EYesDeficient, Provider has date of correctionApril 9, 2026
March 13, 2026HealthF 0644Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DNoDeficient, Provider has date of correctionApril 13, 2026
March 13, 2026HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correctionApril 13, 2026
March 13, 2026HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correctionApril 30, 2026
March 13, 2026HealthF 0744Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.ENoDeficient, Provider has date of correctionApril 30, 2026
September 11, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correctionOctober 16, 2025
September 11, 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DNoDeficient, Provider has date of correctionOctober 2, 2025
September 11, 2025HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DNoDeficient, Provider has date of correctionOctober 16, 2025
September 11, 2025HealthF 0744Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DNoDeficient, Provider has date of correctionOctober 1, 2025
April 15, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesPast Non-ComplianceApril 8, 2025
April 15, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesPast Non-ComplianceApril 8, 2025
February 21, 2025HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionFebruary 21, 2025
January 17, 2025HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.JYesPast Non-ComplianceJanuary 13, 2025
January 17, 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.GYesDeficient, Provider has date of correctionFebruary 13, 2025
January 17, 2025HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JYesPast Non-ComplianceJanuary 13, 2025
June 19, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesPast Non-ComplianceJune 18, 2024
May 23, 2024HealthF 0576Resident Rights DeficienciesEnsure residents have reasonable access to and privacy in their use of communication methods.EYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0584Resident Rights DeficienciesHonor 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.EYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0610Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.DYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0658Resident Assessment and Care Planning DeficienciesEnsure services provided by the nursing facility meet professional standards of quality.DYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0744Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.GYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FYesDeficient, Provider has date of correctionJune 17, 2024
May 23, 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correctionJune 17, 2024
February 27, 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.GYesPast Non-ComplianceFebruary 15, 2024
September 22, 2023HealthF 0585Resident Rights DeficienciesHonor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.EYesDeficient, Provider has date of correctionNovember 6, 2023
September 22, 2023HealthF 0800Nutrition and Dietary DeficienciesProvide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EYesDeficient, Provider has date of correctionNovember 6, 2023
September 22, 2023HealthF 0802Nutrition and Dietary DeficienciesProvide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.FYesDeficient, Provider has date of correctionNovember 6, 2023
September 22, 2023HealthF 0804Nutrition and Dietary DeficienciesEnsure food and drink is palatable, attractive, and at a safe and appetizing temperature.EYesDeficient, Provider has date of correctionNovember 6, 2023
September 22, 2023HealthF 0806Nutrition and Dietary DeficienciesEnsure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.DYesDeficient, Provider has date of correctionNovember 6, 2023

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
April 15, 2025Fine$14,505100449
January 17, 2025Fine$14,508100438
May 23, 2024Fine$78,566100440
February 27, 2024Fine$8,018100429

From the Care Compare penalties file NH_Penalties_Sep2026_2.csv, processed on September 1, 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeGovernment - Hospital district
Legal Business NameCAMPBELL COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid Services1984-06-16
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishCampbell
Telephone Number3076887000
Special Focus StatusSFF
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds160
Average Number of Residents per Day71.5
Processing Date2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

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