Velarion Records

The 340B register and hospital finances — joined, watched daily, delivered.

Skilled nursing facility · CMS certification number 155086

WOODLAND MANOR

ELKHART, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 80

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 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 14 October 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$10,674,492CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,685,623CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$8,988,869CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$8,223,623CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$765,246CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$27,754CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$793,000CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $793,000 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components29,280CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days490CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days23,236CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days1,161CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components24,887CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges17CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges76CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges34CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components127CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.82CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days305.74CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days195.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440858, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended 31 December 2023

Cost report for 1 January 2023 to 31 December 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 September 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$10,300,289CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,200,402CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,099,887CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,708,144CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,391,743CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$563,873CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,955,616CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,955,616 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components25,416CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components179CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days193.4CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days141.99CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395479, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 August 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$10,379,559CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$659,688CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$9,719,871CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,767,671CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,952,200CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$144,962CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$2,097,162CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $2,097,162 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components26,423CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components212CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.06CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days182.17CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days124.64CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362190, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended 31 December 2021

Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 27 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$8,876,204CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,303,590CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,572,614CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,040,476CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,532,138CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,102CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,535,240CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,535,240 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,424CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components153CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days84.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days220.81CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days146.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1334183, read from the public cost report file SNF10FY2021.zip.

Fiscal year 2020, ended 31 December 2020

Cost report for 1 January 2020 to 31 December 2020 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 20 June 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$5,824,435CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$790,377CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,614,812CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,020,968CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$406,156CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$603,623CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$197,467CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $197,467 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,775CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components148CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days47.36CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days140.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1320898, read from the public cost report file SNF10FY2020.zip.

Fiscal year 2019, ended 31 December 2019

Cost report for 1 January 2019 to 31 December 2019 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 September 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$5,406,574CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$66,409CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,340,165CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,996,638CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$656,473CMS-2540-10 worksheet G300000 line 500 column 100
Total other income−$1,552CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$658,025CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$658,025 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,817CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components75CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days277.56CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1299874, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 16 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$5,012,713CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$124,172CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,888,541CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,766,303CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$877,762CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,708CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$868,054CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$868,054 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,851CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components40CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days471.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241092, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$4,958,698CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$129,336CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,829,362CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,570,521CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$741,159CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,192CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$733,967CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$733,967 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,542CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components39CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days113.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days501.08CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209807, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 1 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$5,259,578CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$356,635CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,902,943CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,452,321CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$549,378CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,802CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$545,576CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$545,576 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,138CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components48CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days55.47CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days419.54CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1171477, read from the public cost report file SNF10FY2016.zip.

Fiscal year 2015, ended 31 December 2015

Cost report for 1 January 2015 to 31 December 2015 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$5,078,889CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$543,931CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,534,958CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,470,803CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$935,845CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$1,074CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$934,771CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$934,771 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,157CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components48CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days419.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1138758, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 29 July 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$7,223,652CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,233,132CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,990,520CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,613,680CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$376,840CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,994CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$379,834CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $379,834 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components22,201CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components71CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days46.93CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days312.69CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105871, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 15 August 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$6,562,210CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,304,049CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,258,161CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,381,807CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$123,646CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,227CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$119,419CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$119,419 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,298CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components65CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.19CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days312.28CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1076208, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 May 2012 to 31 December 2012 — a reporting period of 244 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 13 November 2014.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$4,599,542CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$616,490CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,983,052CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,484,294CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$498,758CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,579CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$501,337CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $501,337 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,055CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components35CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days114.31CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days430.14CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1080176, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 31 December 2011

Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 October 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$4,394,959CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$4,394,959CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,225,085CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$169,874CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,299CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$175,173CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $175,173 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components23,633CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components76CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days72.71CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days310.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1016861, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 September 2013.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$4,585,579CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,068,260CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$517,319CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,455CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$55,718CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $468,056 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,902CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components93CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days72.26CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days267.76CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 435293, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 31 December 2009

Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 May 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,627,636CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,083,042CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$544,594CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,224CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$118,904CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $431,914 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,206CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components73CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days77.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days331.59CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 398691, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 3 March 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,676,363CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,103,409CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$572,954CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,540CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$133,172CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $441,322 (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
FigureAs filedWhere it comes from
Total facility beds, all components80CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components25,656CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components71CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days45.57CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days361.35CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 364820, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 31 December 2007

Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 28 January 2009.

None of these figures is carried on this report.

CMS report record 332753, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 June 2008.

None of these figures is carried on this report.

CMS report record 311300, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 31 December 2005

Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 9 March 2007.

None of these figures is carried on this report.

CMS report record 274044, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 1 December 2003 to 31 December 2004 — a reporting period of 396 days, on form CMS-2540-96, settled, processed by CMS on 14 November 2005.

None of these figures is carried on this report.

CMS report record 236701, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 30 November 2003

Cost report for 1 January 2003 to 30 November 2003 — a reporting period of 333 days, on form CMS-2540-96, settled, processed by CMS on 1 September 2004.

Revenue and expenses, fiscal year 2003
FigureAs filedWhere it comes from
Net patient revenue$2,777,386CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,425,413CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$648,027CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$16,734CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$631,293 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,217CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components100CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.92CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days202.17CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 193604, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 January 2002 to 31 December 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 27 April 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$3,027,498CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,591,800CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$564,302CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,092CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$559,210 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,046CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components85CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days60.31CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days282.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 174156, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 31 December 2001

Cost report for 1 January 2001 to 31 December 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$3,477,489CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,989,922CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$512,433CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$11,283CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$501,150 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components28,379CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components93CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.86CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days305.15CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 129052, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$3,914,038CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,376,316CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$462,278CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,445CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$455,833 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components30,725CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components119CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days35.21CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days258.19CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 128637, read from the public cost report file SNFFY2000.zip.

Fiscal year 1998, ended 31 December 1998

Cost report for 1 January 1998 to 31 December 1998 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 15 February 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$4,567,796CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$5,052,811CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$485,015CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$10,215CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$474,800 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components33,631CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components130CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days41.25CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days258.7CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 64344, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 31 August 1998.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$2,837,212CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,199,362CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$362,150CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$13,435CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$348,715 (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 components99CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components32,345CMS-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 days39.45CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days302.29CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 64343, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 August 1996

Cost report for 1 November 1995 to 31 August 1996 — a reporting period of 304 days, on form CMS-2540-96, reopened, processed by CMS on 19 February 2010.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$2,410,263CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,845,215CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$434,952CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,182,471CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $1,747,519 (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 components95CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components26,245CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components178CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days38.39CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days147.44CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 364222, 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 1 August 2026 (Care Compare ownership).

Owner or managerRoleTypeOwnership percentageAssociation
CIBC BANK USA5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 11/01/2020
343 NAPPANEE PROPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
ADVANCED CARE CONSULTANTS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 09/01/2022
BLUE MANAGEMENT SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2024
CLINICAL CONSULTING SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
FERNANDES, TARYNADP OF THE SNFIndividualNOT APPLICABLEsince 03/01/2025
FIRST BANK OF BERNEADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2020
LME FAMILY HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
MOORE, LESLIEADP OF THE SNFIndividualNOT APPLICABLEsince 04/14/2025
SAMARA FAMILY HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
SUMMATION FINANCIAL SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
WOODLAND NURSING AND REHAB LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
GREATOREX, TINAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 01/08/2026
SCHIOWITZ, MARCINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 01/08/2026
SEBBAG, GABRIELINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 01/08/2026
BORNE-BAUMAN, CANDICEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2019
FLUECKIGER, RUSSELLMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2015
LEHMAN, SCOTTMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 07/14/2020
MACKLIN, LARRYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 05/01/2015
MCINTIRE, DAVIDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2019
ADAMS COUNTY MEMORIAL HOSPITALOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 05/01/2012
BORNE-BAUMAN, CANDICEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2019
FERNANDES, TARYNOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2025
FLUECKIGER, RUSSELLOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2015
LEHMAN, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/14/2020
MACKLIN, LARRYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2015
MCINTIRE, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2019
MOORE, LESLIEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 04/14/2025
SMITH, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2020
SPRUNGER, KYLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2018
WHEELER, DANEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 05/01/2012
WOODLAND NURSING AND REHAB LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 11/01/2020

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ADAMS COUNTY MEMORIAL HOSPITAL (enrollment ID O20120702000151).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ADAMS COUNTY MEMORIAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1005/1/2012
Private equity company: No
Real estate investment trust: No
Holding company: No
CIBC BANK USAOrganization5% OR GREATER MORTGAGE INTEREST10011/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
343 NAPPANEE PROPCO LLCOrganizationADP OF THE SNFCMS 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.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
ADVANCED CARE CONSULTANTS LLCOrganizationADP OF THE SNFCMS 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.9/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
BLUE MANAGEMENT SERVICES LLCOrganizationADP OF THE SNFCMS 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.1/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
CLINICAL CONSULTING SERVICES LLCOrganizationADP OF THE SNFCMS 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.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
FIRST BANK OF BERNEOrganizationADP OF THE SNFCMS 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.1/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
LESLIE MOOREIndividualADP OF THE SNFCMS 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.4/14/2025
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.
LME FAMILY HOLDINGS LLCOrganizationADP OF THE SNFCMS 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.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
SAMARA FAMILY HOLDINGS LLCOrganizationADP OF THE SNFCMS 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.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
SUMMATION FINANCIAL SERVICES LLCOrganizationADP OF THE SNFCMS 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.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
TARYN FERNANDESIndividualADP OF THE SNFCMS 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.3/1/2025
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.
WOODLAND NURSING AND REHAB LLCOrganizationADP OF THE SNFCMS 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.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
CANDICE BORNE-BAUMANIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.1/1/2019
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.
DAVID MCINTIREIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.1/1/2019
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.
LARRY MACKLINIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.5/1/2015
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.
RUSSELL W FLUECKIGERIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.5/1/2015
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.
SCOTT E LEHMANIndividualMANAGING CONTROL - GOVERNING BODYCMS 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.7/14/2020
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.
ADAMS COUNTY MEMORIAL HOSPITALOrganizationOPERATIONAL/MANAGERIAL CONTROL1005/1/2012
Private equity company: No
Real estate investment trust: No
Holding company: No
CANDICE BORNE-BAUMANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.1/1/2019
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.
DANE WHEELERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.5/1/2012
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.
DAVID MCINTIREIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.1/1/2019
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.
KYLE SPRUNGERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.1/1/2018
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.
LARRY MACKLINIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.5/1/2015
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.
LESLIE MOOREIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.4/14/2025
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.
RUSSELL W FLUECKIGERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.5/1/2015
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.
SCOTT E LEHMANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.7/14/2020
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.
SCOTT T SMITHIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.1/1/2020
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.
TARYN FERNANDESIndividualOPERATIONAL/MANAGERIAL CONTROLCMS 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.3/1/2025
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.
WOODLAND NURSING AND REHAB LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS 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.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
121 November 202521 November 2025104
25 May 20255 May 2025147
314 November 202414 November 20242617

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

Deficiencies cited

50 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
21 November 2025HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correction24 December 2025
21 November 2025HealthF 0605Freedom from Abuse, Neglect, and Exploitation DeficienciesPrevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.DNoDeficient, Provider has date of correction24 December 2025
21 November 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction24 December 2025
21 November 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction24 December 2025
21 November 2025HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correction24 December 2025
21 November 2025HealthF 0770Administration DeficienciesProvide timely, quality laboratory services/tests to meet the needs of residents.DNoDeficient, Provider has date of correction24 December 2025
21 November 2025HealthF 0791Quality of Life and Care DeficienciesProvide or obtain dental services for each resident.DNoDeficient, Provider has date of correction24 December 2025
21 November 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction24 December 2025
21 November 2025HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.ENoDeficient, Provider has date of correction24 December 2025
15 September 2025HealthF 0742Quality of Life and Care DeficienciesProvide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.DYesDeficient, Provider has date of correction26 September 2025
5 May 2025HealthF 0576Resident Rights DeficienciesEnsure residents have reasonable access to and privacy in their use of communication methods.CNoDeficient, Provider has date of correction23 May 2025
5 May 2025HealthF 0623Resident Rights DeficienciesProvide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DNoDeficient, Provider has date of correction23 May 2025
5 May 2025HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction23 May 2025
5 May 2025HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction23 May 2025
5 May 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction23 May 2025
5 May 2025HealthF 0758Pharmacy Service DeficienciesImplement 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.DNoDeficient, Provider has date of correction23 May 2025
5 May 2025HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction23 May 2025
28 February 2025HealthF 0550Resident Rights DeficienciesHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DYesDeficient, Provider has date of correction21 March 2025
28 February 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.GYesDeficient, Provider has date of correction21 March 2025
28 February 2025HealthF 0686Quality of Life and Care DeficienciesProvide appropriate pressure ulcer care and prevent new ulcers from developing.GYesDeficient, Provider has date of correction28 April 2025
28 February 2025HealthF 0725Nursing and Physician Services DeficienciesProvide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.GYesDeficient, Provider has date of correction21 March 2025
28 February 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DYesDeficient, Provider has date of correction28 April 2025
14 November 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.EYesDeficient, Provider has date of correction24 January 2025
14 November 2024HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DNoDeficient, Provider has date of correction14 December 2024
14 November 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.ENoDeficient, Provider has date of correction14 December 2024
14 November 2024HealthF 0625Resident Rights DeficienciesNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.ENoDeficient, Provider has date of correction14 December 2024
14 November 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.DNoDeficient, Provider has date of correction26 December 2024
14 November 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DYesDeficient, Provider has date of correction24 January 2025
14 November 2024HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correction14 December 2024
14 November 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction24 January 2025
14 November 2024HealthF 0685Quality of Life and Care DeficienciesAssist a resident in gaining access to vision and hearing services.DNoDeficient, Provider has date of correction14 December 2024
14 November 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.ENoDeficient, Provider has date of correction24 January 2025
14 November 2024HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DNoDeficient, Provider has date of correction24 January 2025
14 November 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.ENoDeficient, Provider has date of correction14 December 2024
14 November 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction14 December 2024
14 November 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction24 January 2025
14 November 2024HealthF 0883Infection Control DeficienciesDevelop and implement policies and procedures for flu and pneumonia vaccinations.DNoDeficient, Provider has date of correction24 January 2025
14 November 2024HealthF 0887Infection Control DeficienciesEducate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DNoDeficient, Provider has date of correction24 January 2025
14 November 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FYesDeficient, Provider has date of correction14 December 2024
14 November 2024HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.FYesDeficient, Provider has date of correction14 December 2024
6 September 2024HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DYesDeficient, Provider has date of correction27 September 2024
21 June 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GYesDeficient, Provider has date of correction19 July 2024
14 June 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 correction5 July 2024
17 May 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction5 July 2024
17 May 2024HealthF 0925Environmental DeficienciesMake sure there is a pest control program to prevent/deal with mice, insects, or other pests.EYesDeficient, Provider has date of correction5 July 2024
6 March 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 correction8 March 2024
21 December 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DYesDeficient, Provider has date of correction12 January 2024
21 December 2023HealthF 0622Resident Rights DeficienciesNot transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.DYesDeficient, Provider has date of correction12 January 2024
9 August 2023HealthF 0602Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from the wrongful use of the resident's belongings or money.DYesDeficient, Provider has date of correction15 September 2023
9 August 2023HealthF 0755Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.DYesDeficient, Provider has date of correction15 September 2023

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

Penalties

Penalty dateTypeFine amountPayment denial beganPayment denial, daysFine ID
28 February 2025Fine$79,28451545
17 May 2024Fine$35,05551439
17 May 2024Payment Denial20 June 202429

From the Care Compare penalties file NH_Penalties_Aug2026.csv, processed on 1 August 2026.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services1969-02-12
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishElkhart
Telephone Number5742950096
Chain NameADAMS COUNTY MEMORIAL HOSPITAL
Chain ID10
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds80
Average Number of Residents per Day68.4
Overall Rating1
Health Inspection Rating1
QM Rating1
Long-Stay QM Rating1
Processing Date2026-08-01

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

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