Skilled nursing facility · CMS certification number 155109
BRICKYARD HEALTHCARE - TWELFTH STREET CARE CENTER
MISHAWAKA, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 87
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, as submitted, processed by CMS on 19 May 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,450,836 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$1,927,462 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $8,378,298 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,743,687 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $634,611 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$32,645 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $601,966 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $601,966 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 31,842 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,047 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,627 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 6,195 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 22,869 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 64 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 39 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 118 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 69.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 244.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 193.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1421619, 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 26 September 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,845,917 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$809,948 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,655,865 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,290,053 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $365,812 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $30,118 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $395,930 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $395,930 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,474 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 190 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.74 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.81 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 113.02 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440209, 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 28 October 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,938,838 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$838,246 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,777,084 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,544,101 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $232,983 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $147,394 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $380,377 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $380,377 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,183 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 173 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.6 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 310 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 128.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1398104, 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 7 November 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,067,944 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$188,360 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,256,304 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,415,175 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $841,129 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $131,927 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $973,056 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $973,056 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,324 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 477.68 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 157.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1367671, 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 27 February 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,722,277 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$338,191 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,060,468 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,854,141 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $206,327 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$51,841 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $154,486 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $154,486 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,118 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 97 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.09 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 354.41 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 207.4 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1343211, 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 18 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,570,759 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $949,593 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,621,166 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,598,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$977,109 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $111,064 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$866,045 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$866,045 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,312 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 82 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.18 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 247.71 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1304865, 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 28 September 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,012,877 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,146,721 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,866,156 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,305,535 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,439,379 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $44,632 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,394,747 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,394,747 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,405 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 83 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 221.75 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1269873, 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 4 March 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,771,831 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $281,322 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,490,509 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,902,175 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,411,666 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $61,131 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,350,535 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,350,535 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,630 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 116 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 74.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 151.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1220480, 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 17 September 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,749,942 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $19,415 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,730,527 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,882,946 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,152,419 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,465 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,129,954 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,129,954 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,939 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.58 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 167.55 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1211378, 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 17 October 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,561,587 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,368 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,558,219 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,061,558 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$503,339 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $40,902 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$462,437 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$462,437 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,968 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 150 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 153.12 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1176932, 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 30 September 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,672,647 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $4,817 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,667,830 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,201,126 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$533,296 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $22,778 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$510,518 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$510,518 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,720 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 126 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.68 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 180.32 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1144381, 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 29 December 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,142,969 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $16,681 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,126,288 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,825,388 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$699,100 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,829 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$691,271 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$691,271 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,218 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 161 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.54 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 125.58 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1116623, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 August 2012
Cost report for 1 January 2012 to 31 August 2012 — a reporting period of 243 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 9 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,876,388 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $235,833 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,640,555 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,823,495 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$182,940 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $63,012 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$119,928 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$119,928 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 13,326 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 67 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.61 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 198.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1148020, 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 28 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,084,417 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $130,636 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,953,781 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,556,652 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$602,871 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,544 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$571,327 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$571,327 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,393 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 107 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 95.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 190.59 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1040554, 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 17 April 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,876,566 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,124,899 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$248,333 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $80,253 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$168,080 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,701 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 195 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 77.87 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 121.54 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 427675, 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, reopened, processed by CMS on 26 October 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,794,627 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,148,251 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$353,624 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $57,311 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$296,313 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,185 | 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 | 101.26 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 309.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433161, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 February 2008 to 31 December 2008 — a reporting period of 334 days, on form CMS-2540-96, reopened, processed by CMS on 27 January 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,397,688 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,622,105 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$224,417 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $14,595 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$209,822 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,933 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 73.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 269.8 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 424189, 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 30 April 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,626,486 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,521,749 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $104,737 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $12,827 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $117,564 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,312 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 94 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 269.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 338162, 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 16 November 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,498,239 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,234,038 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $264,201 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $71,902 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $336,103 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 87 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,681 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.77 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 256.81 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 296537, 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 20 October 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,025,518 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,709,190 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$683,672 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $725,216 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $41,544 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,935 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 59.2 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 264.07 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 264852, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 April 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,105,973 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,126,659 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$20,686 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $29,806 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $9,120 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,268 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 74 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.58 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 395.51 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 248034, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 23 August 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,974,686 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,922,394 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $52,292 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $55,157 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $107,449 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 90 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,167 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 81 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 61.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 360.09 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 231539, 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 17 June 2005.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,898,201 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,752,674 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $145,527 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $40,666 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $186,193 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 95 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,931 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 82 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 68.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 365.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 223941, 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 4 September 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,868,577 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,602,880 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $265,697 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $24,816 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $290,513 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 31,736 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 72 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 70.63 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 440.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 158562, 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, as submitted, processed by CMS on 22 June 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,458,793 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,482,045 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$23,252 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $54,211 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $30,959 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,631 | 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 | 65.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 322.43 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 74357, read from the public cost report file SNFFY2000.zip.
Fiscal year 1999, ended 31 December 1999
Cost report for 1 January 1999 to 31 December 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 30 July 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,717,222 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,427,107 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $290,115 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,389 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $331,504 (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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 32,284 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 64 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 105.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 504.44 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6086, read from the public cost report file SNFFY1999.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 18 February 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,274,600 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,228,259 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $46,341 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $23,499 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $69,840 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,067 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 82 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 77.54 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 342.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6085, 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 July 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,702,034 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,099,087 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$397,053 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $473,008 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $75,955 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 102 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 26,477 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 88 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 93.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 300.88 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 6084, read from the public cost report file SNFFY1997.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
Ownership, as filed with CMS
Care Compare
As filed in the CMS file dated 1 August 2026 (Care Compare ownership).
| Owner or manager | Role | Type | Ownership percentage | Association |
|---|---|---|---|---|
| GEE, WILLIAM | CONTRACTED MANAGING EMPLOYEE | Individual | NOT APPLICABLE | since 03/07/2023 |
| ENGELS, ERIN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 10/25/2014 |
| GENTRY, MARK | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/12/2022 |
| STARKEY, TYLER | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/01/2020 |
| WAITE, JOHN | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/01/2020 |
| WHICKER, TIMOTHY | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/12/2022 |
| FENOUGHTY, DEANNA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 07/10/2023 |
| MISHAWAKA OPERATING LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 09/01/2012 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of HENDRICKS COUNTY HOSPITAL (enrollment ID O20130503000383).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| HENDRICKS COUNTY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 9/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| WILLIAM GEE | Individual | CONTRACTED MANAGING EMPLOYEE | 0 | 3/7/2023 | 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. |
| JOHN WAITE | Individual | CORPORATE DIRECTOR | 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. | 8/1/2020 | 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. |
| MARK EDWARD GENTRY | Individual | CORPORATE DIRECTOR | 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. | 1/12/2022 | 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. |
| TIMOTHY A WHICKER | Individual | CORPORATE DIRECTOR | 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. | 1/12/2022 | 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. |
| TYLER STARKEY | Individual | CORPORATE DIRECTOR | 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. | 8/1/2020 | 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. |
| DEANNA M FENOUGHTY | Individual | CORPORATE OFFICER | 0 | 7/10/2023 | 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. |
| ERIN M ENGELS | Individual | DIRECTOR | 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. | 10/25/2014 | 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. |
| MISHAWAKA OPERATING LLC | 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. | 9/1/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
Changes in ownership
- 1 February 2024: YVONNE CULPEPPER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 2 October 2023: DEANNA M FENOUGHTY appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- 1 August 2023: JASON EASTLUND no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: KEVIN P SPEER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: WILLIAM GEE appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: YVONNE CULPEPPER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
Recent changes on this record
- 26 September 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 19 May 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 28 October 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 1 February 2024: YVONNE CULPEPPER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-02-01.csv
- 7 November 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 2 October 2023: DEANNA M FENOUGHTY appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-10-02.csv
- 1 August 2023: JASON EASTLUND no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: KEVIN P SPEER no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: WILLIAM GEE appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 1 August 2023: YVONNE CULPEPPER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-08-01.csv
- 27 February 2023: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
- 18 November 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
- 28 September 2020: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
- 4 March 2019: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
- 17 September 2018: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
- 17 October 2017: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
- 9 December 2016: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 30 September 2016: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
- 29 April 2016: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
- 29 December 2015: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
- 28 June 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-10. SNF10FY2011.zip
- 26 October 2012: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
- 17 April 2012: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
- 27 January 2012: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 3 November 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
- 30 April 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
- 16 November 2007: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
- 20 October 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
- 26 April 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
- 23 August 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
- 17 June 2005: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
- 4 September 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
- 22 June 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
- 30 July 2000: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip
- 18 February 2000: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
- 31 July 1998: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 12 September 2025 | 12 September 2025 | 10 | 19 |
| 2 | 26 September 2024 | 26 September 2024 | 9 | 7 |
| 3 | 26 September 2023 | 26 September 2023 | 9 | 6 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
28 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 12 September 2025 | 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. | E | No | Deficient, Provider has date of correction | 27 October 2025 |
| 12 September 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | 27 October 2025 |
| 12 September 2025 | 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 | No | Deficient, Provider has date of correction | 27 October 2025 |
| 12 September 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | No | Deficient, Provider has date of correction | 27 October 2025 |
| 12 September 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 | 27 October 2025 |
| 12 September 2025 | Health | F 0692 | Quality of Life and Care Deficiencies | Provide enough food/fluids to maintain a resident's health. | D | No | Deficient, Provider has date of correction | 27 October 2025 |
| 12 September 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure 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. | E | No | Deficient, Provider has date of correction | 27 October 2025 |
| 12 September 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 | 27 October 2025 |
| 12 September 2025 | Health | F 0912 | Environmental Deficiencies | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | No | Deficient, Provider has date of correction | 27 October 2025 |
| 12 September 2025 | Health | F 0921 | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | No | Deficient, Provider has date of correction | 27 October 2025 |
| 19 March 2025 | 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 | 17 April 2025 |
| 19 March 2025 | Health | F 0656 | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Yes | Deficient, Provider has date of correction | 17 April 2025 |
| 19 March 2025 | Health | F 0684 | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Yes | Deficient, Provider has date of correction | 17 April 2025 |
| 26 September 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 | No | Deficient, Provider has date of correction | 1 November 2024 |
| 26 September 2024 | Health | F 0585 | Resident Rights Deficiencies | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | No | Deficient, Provider has date of correction | 1 November 2024 |
| 26 September 2024 | Health | F 0621 | Resident Rights Deficiencies | Treat residents equally regarding transfer, discharge, and provision of services for all residents, regardless of payment source | D | Yes | Deficient, Provider has date of correction | 1 November 2024 |
| 26 September 2024 | Health | F 0637 | Resident Assessment and Care Planning Deficiencies | Assess the resident when there is a significant change in condition | D | No | Deficient, Provider has date of correction | 1 November 2024 |
| 26 September 2024 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 1 November 2024 |
| 26 September 2024 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 1 November 2024 |
| 26 September 2023 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | B | No | Deficient, Provider has date of correction | 26 October 2023 |
| 26 September 2023 | Health | F 0657 | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | No | Deficient, Provider has date of correction | 26 October 2023 |
| 26 September 2023 | Health | F 0677 | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | No | Deficient, Provider has date of correction | 26 October 2023 |
| 26 September 2023 | Health | F 0740 | Quality of Life and Care Deficiencies | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | D | No | Deficient, Provider has date of correction | 26 October 2023 |
| 26 September 2023 | Health | F 0807 | Nutrition and Dietary Deficiencies | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | No | Deficient, Provider has date of correction | 26 October 2023 |
| 26 September 2023 | 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. | E | No | Deficient, Provider has date of correction | 26 October 2023 |
| 26 September 2023 | Health | F 0849 | Administration Deficiencies | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | No | Deficient, Provider has date of correction | 26 October 2023 |
| 26 September 2023 | Health | F 0883 | Infection Control Deficiencies | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | No | Deficient, Provider has date of correction | 26 October 2023 |
| 26 September 2023 | Health | F 0908 | Environmental Deficiencies | Keep all essential equipment working safely. | F | No | Deficient, Provider has date of correction | 26 October 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 | For profit - Corporation |
| Legal Business Name | HENDRICKS COUNTY HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1974-01-21 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | St. Joseph |
| Telephone Number | 5742591917 |
| Chain Name | BRICKYARD HEALTHCARE |
| Chain ID | 90 |
| 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 | 87 |
| Average Number of Residents per Day | 58.2 |
| Overall Rating | 2 |
| Health Inspection Rating | 2 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
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On 26 September 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. That is one line of the alert.
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The citable document for BRICKYARD HEALTHCARE - TWELFTH STREET CARE CENTER
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 Indiana 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.
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 155109.