Skilled nursing facility · CMS certification number 155461
PRAIRIE VILLAGE NURSING AND REHABILITATION
WASHINGTON, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 65
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 11 December 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,253,586 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$629,327 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,882,913 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $7,088,844 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$205,931 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $41,520 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$164,411 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$164,411 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 23,790 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 1,180 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 15,138 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 1,444 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 17,762 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 20 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 111 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 53 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 184 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 136.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 96.53 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1444320, 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 10 October 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,352,130 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$839,421 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,191,551 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,567,748 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,376,197 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $284,335 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,091,862 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,091,862 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,745 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 66.38 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 192.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 167.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1440601, 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 8 December 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,095,508 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$521,559 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,617,067 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,348,255 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,731,188 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,160 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,721,028 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,721,028 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,205 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 191 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 112.66 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 79.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1370069, 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 24 April 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,539,633 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$381,182 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,920,815 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,705,625 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,784,810 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $11,773 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,773,037 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,773,037 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,459 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 124 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 86.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 166.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 132.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1346239, 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 28 June 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,685,582 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $49,592 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,635,990 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,383,451 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,747,461 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $465,085 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,282,376 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,282,376 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,735 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 94 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.22 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 251.89 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 188.67 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1323274, 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 4 May 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,734,979 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $378,436 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,356,543 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,989,228 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,632,685 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $9,061 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,623,624 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,623,624 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,841 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 108 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 213.74 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 165.19 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1283268, 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 5 March 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,855,858 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $514,559 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,341,299 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,961,922 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,620,623 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,099 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$1,612,524 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$1,612,524 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,864 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 110 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 274.53 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.49 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1251910, 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 14 November 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,194,488 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,265,682 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,928,806 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,889,491 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$960,685 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,335 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$958,350 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$958,350 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,989 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 71 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.91 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 846.1 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 295.62 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1245644, 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 18 September 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,339,531 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,633,299 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,706,232 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,569,534 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$863,302 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,671 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$856,631 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$856,631 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,688 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 127 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 53.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 232.01 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 162.9 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1211948, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 January 2015 to 30 June 2015 — a reporting period of 180 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 7 December 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,093,545 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $896,797 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,196,748 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,802,294 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $394,454 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,473 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $400,927 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $400,927 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 10,600 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 48 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.21 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 220.83 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1147681, 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 21 April 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,021,835 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,686,072 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,335,763 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,494,200 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $841,563 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$22,593 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $818,970 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $818,970 (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 | 65 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,141 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 99 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.39 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 223.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1122493, 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 October 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,639,924 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,872,183 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,767,741 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,792,187 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $975,554 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$74,365 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $901,189 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $901,189 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,630 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 103 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 70.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 210 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1111087, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 September 2012 to 31 December 2012 — a reporting period of 121 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 14 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,514,433 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $339,874 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,174,559 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,788,755 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $385,804 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$48,443 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $337,361 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $337,355 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 7,032 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 28 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.45 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 251.14 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1083999, 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 10 June 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,345,923 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,128,240 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,217,683 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,624,983 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $592,700 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$53,380 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $539,320 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $539,320 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,205 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 81 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 61.1 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 286.48 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1033113, 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 20 April 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,902,122 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,547,727 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $354,395 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | −$35,986 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $318,409 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,823 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 84 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 51.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 271.7 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 428018, 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 25 May 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,933,628 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,600,128 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $333,500 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $41,886 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $375,386 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,019 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 122 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.47 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 180.48 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 400380, 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, reopened, processed by CMS on 2 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,491,392 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,402,748 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $88,644 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $38,345 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $126,989 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 23,158 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 93 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 60.81 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 249.01 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435189, 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, reopened, processed by CMS on 25 November 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,308,443 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,090,374 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $218,069 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $37,351 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $255,420 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 24,025 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 79 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 82.37 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 304.11 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435690, 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, reopened, processed by CMS on 20 November 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,605,392 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,664,711 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$59,319 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $114,596 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $55,277 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 70 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,147 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 107 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 55.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 206.98 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 435592, 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, as submitted, processed by CMS on 14 June 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,368,821 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,301,526 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | $67,295 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $341,206 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$1 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $408,502 (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 | 79 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 22,348 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 115 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 54.92 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 194.33 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 253545, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 June 2004 to 31 December 2004 — a reporting period of 213 days, not a full year, on form CMS-2540-96, reopened, processed by CMS on 6 February 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,497,552 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,592,252 | CMS-2540-96 worksheet G200002 line 1500 column 100 |
| Net income from service to patients | −$94,700 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,987 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$84,713 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 12,895 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 53.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 226.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 301857, 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 13 December 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,663,253 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,154,297 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$491,044 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,684 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$479,360 (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 | 82 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 25,995 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 110 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 24.41 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 236.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202364, 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 22 January 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,907,448 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,136,014 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$228,566 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,643 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$217,927 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 27,777 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 57 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 92.33 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 487.32 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 167509, 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 28 May 2003.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,983,355 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,039,685 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$56,330 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $11,296 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$45,034 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,736 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 78 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 28.48 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 381.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 146208, 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 11 March 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,874,303 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,936,378 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$62,075 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,825 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$51,250 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,556 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 54 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 103.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 565.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 13908, 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, settled, processed by CMS on 23 January 2001.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,816,952 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,869,908 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$52,956 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,965 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$42,991 (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 | 119 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 30,150 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 77 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 20.19 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 391.56 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 13906, read from the public cost report file SNFFY1999.zip.
Nurse staffing
Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.
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 |
|---|---|---|---|---|
| AMERICAN SENIOR COMMUNITIES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/15/2026 |
| BURLA, KIRAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/15/2026 |
| DICE, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2023 |
| O'NIONES, ROBERT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/15/2026 |
| VAN CAMP, STEVEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/01/2023 |
| DRUMMER, CARL | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2017 |
| HANIFY, THOMAS | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/01/2022 |
| HORN, BRENDA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 12/01/2023 |
| LAZARD, ROBERT | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 01/29/2021 |
| MANTRAVADI, GEETA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 07/21/2021 |
| PAYNE, MONICA | CORPORATE DIRECTOR | Individual | NOT APPLICABLE | since 08/09/2021 |
| BABCOCK, PAUL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 09/30/2020 |
| CAINE, VIRGINIA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/10/1994 |
| HARRIS, LISA | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 12/22/2003 |
| AMERICAN SENIOR COMMUNITIES LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 07/01/2015 |
| BURLA, KIRAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/07/2019 |
| DICE, MARK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2023 |
| GOODWIN, GARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/03/2019 |
| O'NIONES, ROBERT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/29/2024 |
| VAN CAMP, STEVEN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 06/01/2023 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY (enrollment ID O20150807015218).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 7/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| AMERICAN SENIOR COMMUNITIES LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/15/2026 | Private equity company: No Real estate investment trust: No Holding company: No |
| KIRAN K BURLA | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/15/2026 | 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 DICE | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2023 | 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. |
| ROBERT K O'NIONES | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/15/2026 | 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. |
| STEVEN VAN CAMP | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2023 | 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. |
| BRENDA HORN | 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. | 12/1/2023 | 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. |
| CARL L DRUMMER | 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. | 1/1/2017 | 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. |
| GEETA MANTRAVADI | 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. | 7/21/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MONICA PAYNE | 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. | 8/9/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ROBERT W LAZARD | 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. | 1/29/2021 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| THOMAS HANIFY | 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. | 1/1/2022 | 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. |
| PAUL T BABCOCK | Individual | CORPORATE OFFICER | 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. | 9/30/2020 | 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. |
| VIRGINIA A CAINE | Individual | CORPORATE OFFICER | 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. | 1/10/1994 | 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. |
| LISA E HARRIS | Individual | OFFICER | 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. | 12/22/2003 | 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. |
| AMERICAN SENIOR COMMUNITIES 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. | 7/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| GARY A GOODWIN | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/3/2019 | 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. |
| KIRAN K BURLA | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/7/2019 | 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. |
| MARK DICE | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2023 | 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. |
| ROBERT K O'NIONES | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/29/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| STEVEN VAN CAMP | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/1/2023 | 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. |
Changes in ownership
- 1 August 2026: ROBERT K O'NIONES no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: KIRAN K BURLA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: MARK DICE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: STEVEN VAN CAMP no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: ROBERT K O'NIONES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: ROBERT K O'NIONES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: AMERICAN SENIOR COMMUNITIES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: KIRAN K BURLA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: KIRAN K BURLA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: MARK DICE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: MARK DICE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: STEVEN VAN CAMP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: STEVEN VAN CAMP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 July 2026: GARY A GOODWIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GARY A GOODWIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 December 2024: DONNA G KELSEY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: GREGORY S FEHRIBACH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: BEVERLY MUKES-GAITHER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: DEANA L CHAMBERS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: ROBERT K O'NIONES appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: BRENDA HORN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: KIRAN K BURLA appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: MARK E DICE appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 31 October 2022: STACY BLUE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: DAVID R STORDY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: VIRGINIA A CAINE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: ROBERT W LAZARD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: THOMAS HANIFY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: MONICA CRAIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: LISA E HARRIS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: CARL L DRUMMER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: GREGORY S FEHRIBACH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: BEVERLY MUKES-GAITHER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: GEETA MANTRAVADI appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: DEANA L CHAMBERS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
Recent changes on this record
- 1 August 2026: ROBERT K O'NIONES no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: KIRAN K BURLA no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: MARK DICE no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: STEVEN VAN CAMP no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: ROBERT K O'NIONES appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: ROBERT K O'NIONES appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: AMERICAN SENIOR COMMUNITIES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: KIRAN K BURLA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: KIRAN K BURLA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: MARK DICE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: MARK DICE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: STEVEN VAN CAMP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 August 2026: STEVEN VAN CAMP appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-08-01.csv
- 1 July 2026: GARY A GOODWIN no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: GARY A GOODWIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 11 December 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 10 October 2025: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 1 December 2024: DONNA G KELSEY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: GREGORY S FEHRIBACH no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: BEVERLY MUKES-GAITHER no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: DEANA L CHAMBERS no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: ROBERT K O'NIONES appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: BRENDA HORN appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: KIRAN K BURLA appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 1 December 2024: MARK E DICE appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2024-12-01.csv
- 8 December 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 24 April 2023: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
- 31 October 2022: STACY BLUE no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: DAVID R STORDY no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: VIRGINIA A CAINE appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: ROBERT W LAZARD appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: THOMAS HANIFY appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: MONICA CRAIN appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: LISA E HARRIS appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: CARL L DRUMMER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: GREGORY S FEHRIBACH appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: BEVERLY MUKES-GAITHER appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: GEETA MANTRAVADI appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 31 October 2022: DEANA L CHAMBERS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2022-10-31.csv
- 28 June 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 12 May 2025 | 12 May 2025 | 7 | 0 |
| 2 | 3 May 2024 | 3 May 2024 | 7 | 0 |
| 3 | 20 October 2022 | 20 October 2022 | 3 | 0 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
17 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 12 May 2025 | Health | F 0553 | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | E | No | Deficient, Provider has date of correction | 10 June 2025 |
| 12 May 2025 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 10 June 2025 |
| 12 May 2025 | Health | F 0605 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | D | No | Deficient, Provider has date of correction | 10 June 2025 |
| 12 May 2025 | Health | F 0695 | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. | D | No | Deficient, Provider has date of correction | 10 June 2025 |
| 12 May 2025 | Health | F 0744 | Quality of Life and Care Deficiencies | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | No | Deficient, Provider has date of correction | 10 June 2025 |
| 12 May 2025 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 10 June 2025 |
| 12 May 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. | E | No | Deficient, Provider has date of correction | 10 June 2025 |
| 3 May 2024 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | No | Deficient, Provider has date of correction | 30 May 2024 |
| 3 May 2024 | Health | F 0554 | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. | D | No | Deficient, Provider has date of correction | 30 May 2024 |
| 3 May 2024 | 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 | No | Deficient, Provider has date of correction | 30 May 2024 |
| 3 May 2024 | 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. | E | No | Deficient, Provider has date of correction | 30 May 2024 |
| 3 May 2024 | Health | F 0727 | Nursing and Physician Services Deficiencies | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | F | No | Deficient, Provider has date of correction | 30 May 2024 |
| 3 May 2024 | 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 | 30 May 2024 |
| 3 May 2024 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | E | No | Deficient, Provider has date of correction | 30 May 2024 |
| 20 October 2022 | Health | F 0583 | Resident Rights Deficiencies | Keep residents' personal and medical records private and confidential. | D | No | Deficient, Provider has date of correction | 11 November 2022 |
| 20 October 2022 | 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 | 11 November 2022 |
| 20 October 2022 | Health | F 0755 | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | No | Deficient, Provider has date of correction | 11 November 2022 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - City/county |
| Legal Business Name | THE HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY |
| Date First Approved to Provide Medicare and Medicaid Services | 1992-07-01 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Daviess |
| Telephone Number | 8122544516 |
| Chain Name | AMERICAN SENIOR COMMUNITIES |
| Chain ID | 33 |
| 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 | 65 |
| Average Number of Residents per Day | 51.4 |
| Overall Rating | 4 |
| Health Inspection Rating | 3 |
| 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 1 August 2026: ROBERT K O'NIONES no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for PRAIRIE VILLAGE NURSING AND REHABILITATION
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.
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