Skilled nursing facility · CMS certification number 145949

HILLCREST HOME

GENESEO, Illinois · Medicare and Medicaid

Certified beds, as filed in Care Compare: 99

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 1 December 2023 to 30 November 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 April 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$5,667,686	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$22,714	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,644,972	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,530,153	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$885,181	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$855,067	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$30,114	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$30,114 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	38,053	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	420	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	8,990	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	14,139	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	23,549	CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1420075, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 30 November 2023

Cost report for 1 December 2022 to 30 November 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,040,103	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$6,040,103	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,609,734	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$569,631	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,243,915	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$674,284	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $674,284 (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%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	99	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,651	CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1390499, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 30 November 2022

Cost report for 1 December 2021 to 30 November 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 28 July 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,371,160	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,371,160	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,439,742	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,068,582	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,742,346	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$673,764	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $673,764 (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%).

Beds, days and discharges, fiscal year 2022
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	26,999	CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1360198, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 30 November 2021

Cost report for 1 December 2020 to 30 November 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 10 August 2022.

Revenue and expenses, fiscal year 2021
Figure	As filed	Where it comes from
Total patient revenue	$4,635,843	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,635,843	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,816,655	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,180,812	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$984,719	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$196,093	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$196,093 (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%).

Beds, days and discharges, fiscal year 2021
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	25,532	CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1329377, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 30 November 2020

Cost report for 1 December 2019 to 30 November 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 15 July 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$5,421,436	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,421,436	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,649,801	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,228,365	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,503,991	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$275,626	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $275,626 (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%).

Beds, days and discharges, fiscal year 2020
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	32,805	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	7	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	106.29	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	4,686.43	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1289342, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 30 November 2019

Cost report for 1 December 2018 to 30 November 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 May 2020.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$5,522,765	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,522,765	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,253,320	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$730,555	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$914,488	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$183,933	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $183,933 (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%).

Beds, days and discharges, fiscal year 2019
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	33,930	CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1255908, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 30 November 2018

Cost report for 1 December 2017 to 30 November 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 May 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$5,375,191	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,375,191	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,208,772	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$833,581	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,010,930	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$177,349	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $177,349 (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%).

Beds, days and discharges, fiscal year 2018
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,044	CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1223776, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 30 November 2017

Cost report for 1 December 2016 to 30 November 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 May 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$5,186,982	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,186,982	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,138,962	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$951,980	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$851,092	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$100,888	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$100,888 (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%).

Beds, days and discharges, fiscal year 2017
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,489	CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1189925, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 30 November 2016

Cost report for 1 December 2015 to 30 November 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 24 May 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$5,174,480	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,174,480	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$6,375,928	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,201,448	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,024,818	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$176,630	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$176,630 (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%).

Beds, days and discharges, fiscal year 2016
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,312	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	60.39	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,535.3	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1157953, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 30 November 2015

Cost report for 1 December 2014 to 30 November 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 31 May 2016.

Revenue and expenses, fiscal year 2015
Figure	As filed	Where it comes from
Total patient revenue	$5,096,807	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,096,807	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,896,055	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$799,248	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$866,252	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$67,004	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $67,004 (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%).

Beds, days and discharges, fiscal year 2015
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	35,075	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	34	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,031.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1125180, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 30 November 2014

Cost report for 1 December 2013 to 30 November 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 June 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$5,019,634	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,019,634	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,791,764	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$772,130	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$929,907	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$157,777	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $157,777 (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%).

Beds, days and discharges, fiscal year 2014
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,765	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	30	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.27	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,225.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1099104, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 30 November 2013

Cost report for 1 December 2012 to 30 November 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 May 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,863,144	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,863,144	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,662,108	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$798,964	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$904,659	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$105,695	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $105,695 (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%).

Beds, days and discharges, fiscal year 2013
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,138	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	64.83	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,571.22	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1060852, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 November 2012

Cost report for 1 December 2011 to 30 November 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 February 2014.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$5,303,601	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$5,303,601	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,554,867	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$251,266	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$934,892	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$683,626	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $683,626 (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%).

Beds, days and discharges, fiscal year 2012
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,778	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	51.36	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	1,471.12	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1055988, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 November 2011

Cost report for 1 December 2010 to 30 November 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 September 2012.

Revenue and expenses, fiscal year 2011
Figure	As filed	Where it comes from
Total patient revenue	$4,651,550	CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue	$4,651,550	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$5,181,291	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$529,741	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$675,321	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$145,580	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $145,580 (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%).

Beds, days and discharges, fiscal year 2011
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	36,573	CMS-2540-10 worksheet S300001 line 800 column 700

CMS report record 1011711, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 30 November 2010

Cost report for 1 December 2009 to 30 November 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 June 2011.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$4,118,713	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,977,559	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$858,846	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$679,366	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$2	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$179,482 (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 2010
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,535	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	71	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	75.45	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	965.06	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	458.24	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 408261, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 November 2009

Cost report for 1 December 2008 to 30 November 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 June 2010.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$4,308,851	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,861,692	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$552,841	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$613,704	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $60,863 (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 2009
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,554	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	53.63	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	934	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	385.68	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 377570, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 30 November 2008

Cost report for 1 December 2007 to 30 November 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 29 June 2009.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$3,979,512	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,692,959	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$713,447	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$661,838	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$51,609 (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 2008
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	32,936	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	86	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	604.15	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	382.98	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 348078, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 30 November 2007

Cost report for 1 December 2006 to 30 November 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 July 2008.

Revenue and expenses, fiscal year 2007
Figure	As filed	Where it comes from
Net patient revenue	$4,111,701	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,419,685	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$307,984	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$930,968	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $622,984 (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 2007
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	31,608	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	75	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	54	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	897.94	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	421.44	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 319387, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 30 November 2006

Cost report for 1 December 2005 to 30 November 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 May 2007.

Revenue and expenses, fiscal year 2006
Figure	As filed	Where it comes from
Net patient revenue	$3,804,887	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,661,138	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$856,251	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$714,757	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$141,494 (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 2006
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	33,037	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	95	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	66.38	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	561.1	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	347.76	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 278168, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 30 November 2005

Cost report for 1 December 2004 to 30 November 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 May 2006.

Revenue and expenses, fiscal year 2005
Figure	As filed	Where it comes from
Net patient revenue	$4,116,863	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$4,749,898	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$633,035	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$615,101	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$17,934 (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 2005
Figure	As filed	Where it comes from
Total facility beds, all components	106	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	35,387	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	125	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	75.35	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	385.08	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	283.1	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 249495, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 30 November 2004

Cost report for 1 December 2003 to 30 November 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 31 May 2005.

Revenue and expenses, fiscal year 2004
Figure	As filed	Where it comes from
Net patient revenue	$4,422,849	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,120,101	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$697,252	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$676,351	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$20,901 (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
Figure	As filed	Where it comes from
Total facility beds, all components	180	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	39,479	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	149	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.89	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	362.51	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	264.96	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 218482, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 30 November 2003

Cost report for 1 December 2002 to 30 November 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 June 2004.

Revenue and expenses, fiscal year 2003
Figure	As filed	Where it comes from
Net patient revenue	$4,570,244	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,105,216	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$534,972	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$631,879	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $96,907 (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
Figure	As filed	Where it comes from
Total facility beds, all components	180	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	43,210	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	155	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	50.03	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	344.34	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	278.77	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 186119, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 30 November 2002

Cost report for 1 December 2001 to 30 November 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 July 2004.

Revenue and expenses, fiscal year 2002
Figure	As filed	Where it comes from
Net patient revenue	$4,788,945	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,492,789	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$703,844	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$589,761	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$114,083 (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
Figure	As filed	Where it comes from
Total facility beds, all components	180	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	47,108	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	169	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	70.74	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	325.45	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	278.75	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 186482, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 30 November 2001

Cost report for 1 December 2000 to 30 November 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 September 2003.

Revenue and expenses, fiscal year 2001
Figure	As filed	Where it comes from
Net patient revenue	$4,987,535	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,517,049	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$529,514	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$590,574	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$2,556	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $58,504 (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
Figure	As filed	Where it comes from
Total facility beds, all components	180	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	48,950	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	164	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	71.46	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	348.73	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	298.48	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 159347, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 30 November 2000

Cost report for 1 December 1999 to 30 November 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 15 March 2002.

Revenue and expenses, fiscal year 2000
Figure	As filed	Where it comes from
Net patient revenue	$5,571,214	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,325,166	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$246,048	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$85,286	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $331,334 (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
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	51,606	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	194	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	96.04	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	1,961.11	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	266.01	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 86334, read from the public cost report file SNFFY2000.zip.

Fiscal year 1999, ended 30 November 1999

Cost report for 1 December 1998 to 30 November 1999 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 May 2001.

Revenue and expenses, fiscal year 1999
Figure	As filed	Where it comes from
Net patient revenue	$5,380,026	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$5,266,072	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$113,954	CMS-2540-96 worksheet G300000 line 500 column 100

Net income, stated at moderate confidence: $113,954 (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
Figure	As filed	Where it comes from
Total facility beds, all components	194	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	50,683	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	204	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	53.23	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days	288.65	CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days	248.45	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 86332, read from the public cost report file SNFFY1999.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 1 August 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
COUNTY OF HENRY	5% OR GREATER DIRECT OWNERSHIP INTEREST	Organization	100%	since 09/28/2011
COUNTY OF HENRY	5% OR GREATER SECURITY INTEREST	Organization	NOT APPLICABLE	since 09/28/2011
BEAM, VERONICA	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/02/2021
BURTON, JASON	ADP OF THE SNF	Individual	NOT APPLICABLE	since 05/01/2006
COUNTY OF HENRY	ADP OF THE SNF	Organization	NOT APPLICABLE	since 09/28/2011
HARRIS, CAROL	ADP OF THE SNF	Individual	NOT APPLICABLE	since 03/25/2019
KAUFMAN, JULIE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 09/28/2011
SCHULTZ, HELEN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 06/17/2024
SIMONET, CINDY	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/29/2020
STALEY, THOMAS	ADP OF THE SNF	Individual	NOT APPLICABLE	since 04/11/2018
TIPPITT, ROBIN	ADP OF THE SNF	Individual	NOT APPLICABLE	since 08/02/2021
TIPPITT, ROBIN	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 12/30/2024
BEAM, VERONICA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/02/2021
BURTON, JASON	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 05/01/2006
COUNTY OF HENRY	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 09/28/2011
HARRIS, CAROL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 03/25/2019
KAUFMAN, JULIE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/11/1989
SCHULTZ, HELEN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/17/2024
SIMONET, CINDY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/29/2020
STALEY, THOMAS	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 04/11/2018
TIPPITT, ROBIN	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 08/02/2021

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HILLCREST HOME (enrollment ID O20111209000155).

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
COUNTY OF HENRY	Organization	5% OR GREATER DIRECT OWNERSHIP INTEREST	100	9/28/2011	Private equity company: No Real estate investment trust: No Holding company: No
COUNTY OF HENRY	Organization	5% OR GREATER SECURITY INTEREST	100	9/28/2011	Private equity company: No Real estate investment trust: No Holding company: No
CAROL CASEY HARRIS	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/25/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CINDY LEE SIMONET	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/29/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
COUNTY OF HENRY	Organization	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/28/2011	Private equity company: No Real estate investment trust: No Holding company: No
HELEN SCHULTZ	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/17/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JASON BURTON	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2006	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JULIE J KAUFMAN	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/28/2011	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBIN TIPPITT	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/2/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THOMAS R STALEY	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/11/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VERONICA BEAM	Individual	ADP OF THE SNF	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/2/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBIN TIPPITT	Individual	CORPORATE DIRECTOR	0	12/30/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CAROL CASEY HARRIS	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	3/25/2019	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CINDY LEE SIMONET	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/29/2020	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
COUNTY OF HENRY	Organization	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	9/28/2011	Private equity company: No Real estate investment trust: No Holding company: No
HELEN SCHULTZ	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/17/2024	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JASON BURTON	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	5/1/2006	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JULIE J KAUFMAN	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/11/1989	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBIN TIPPITT	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/2/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
THOMAS R STALEY	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	4/11/2018	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
VERONICA BEAM	Individual	OPERATIONAL/MANAGERIAL CONTROL	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	8/2/2021	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

1 August 2025: JULIE J KAUFMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: VERONICA BEAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: VERONICA BEAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: HELEN SCHULTZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: HELEN SCHULTZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JULIE J KAUFMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CAROL CASEY HARRIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CAROL CASEY HARRIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: COUNTY OF HENRY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: COUNTY OF HENRY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: COUNTY OF HENRY appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JASON BURTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JASON BURTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THOMAS R STALEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THOMAS R STALEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ROBIN TIPPITT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CINDY LEE SIMONET appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CINDY LEE SIMONET appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv

Recent changes on this record

1 August 2025: JULIE J KAUFMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: VERONICA BEAM appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: VERONICA BEAM appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: HELEN SCHULTZ appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: HELEN SCHULTZ appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JULIE J KAUFMAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CAROL CASEY HARRIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CAROL CASEY HARRIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: COUNTY OF HENRY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: COUNTY OF HENRY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: COUNTY OF HENRY appears as 5% OR GREATER SECURITY INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JASON BURTON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: JASON BURTON appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THOMAS R STALEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: THOMAS R STALEY appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: ROBIN TIPPITT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CINDY LEE SIMONET appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
1 August 2025: CINDY LEE SIMONET appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-08-01.csv
28 April 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
29 July 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
28 July 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
10 August 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
15 July 2021: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
21 May 2020: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
6 May 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
22 May 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
24 May 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
31 May 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
22 June 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
27 May 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
25 February 2014: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
25 September 2012: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
27 June 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
23 June 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
29 June 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
23 July 2008: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
8 May 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
17 May 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
31 May 2005: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
1 July 2004: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	23 May 2025	23 May 2025	7	2
2	31 May 2024	31 May 2024	5	11
3	7 April 2023	7 April 2023	5	2

From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.

Deficiencies cited

17 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
23 May 2025	Health	F 0578	Resident Rights Deficiencies	Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.	D	No	Deficient, Provider has date of correction	18 June 2025
23 May 2025	Health	F 0628	Resident Rights Deficiencies	Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.	E	No	Deficient, Provider has date of correction	18 June 2025
23 May 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	E	No	Deficient, Provider has date of correction	18 June 2025
23 May 2025	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	18 June 2025
23 May 2025	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	18 June 2025
23 May 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	18 June 2025
23 May 2025	Health	F 0837	Administration Deficiencies	Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility.	F	No	Deficient, Provider has date of correction	18 June 2025
24 June 2024	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	Yes	Deficient, Provider has date of correction	9 July 2024
31 May 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	G	No	Deficient, Provider has date of correction	20 June 2024
31 May 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	No	Deficient, Provider has date of correction	20 June 2024
31 May 2024	Health	F 0758	Pharmacy Service Deficiencies	Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.	D	No	Deficient, Provider has date of correction	20 June 2024
31 May 2024	Health	F 0881	Infection Control Deficiencies	Implement a program that monitors antibiotic use.	F	No	Deficient, Provider has date of correction	20 June 2024
31 May 2024	Health	F 0919	Environmental Deficiencies	Make sure that a working call system is available in each resident's bathroom and bathing area.	F	No	Deficient, Provider has date of correction	20 June 2024
23 April 2024	Health	F 0689	Quality of Life and Care Deficiencies	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.	D	Yes	Deficient, Provider has date of correction	2 May 2024
7 February 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.	D	Yes	Deficient, Provider has date of correction	27 February 2024
15 November 2023	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	4 December 2023
7 April 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	19 April 2023

From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Government - City/county
Legal Business Name	HILLCREST HOME
Date First Approved to Provide Medicare and Medicaid Services	1998-02-01
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Henry
Telephone Number	3099442147
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	99
Average Number of Residents per Day	50.6
Overall Rating	4
Health Inspection Rating	4
QM Rating	4
Long-Stay QM Rating	4
Short-Stay QM Rating	4
Processing Date	2026-08-01

From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.

Get an email when this record changes

One email a day naming what moved on HILLCREST HOME: 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 1 August 2025: JULIE J KAUFMAN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for HILLCREST HOME

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 Illinois 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.

Read the citable document for this facility →

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 145949.