Velarion Records

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

Skilled nursing facility · CMS certification number 155482

KENDALLVILLE MANOR

KENDALLVILLE, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 60

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 18 September 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$7,097,334CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,118,475CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,978,859CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,004,701CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$974,158CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$36,355CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,010,513CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,010,513 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components21,960CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days317CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days15,512CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days1,987CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components17,816CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges4CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges28CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges52CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components84CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days79.25CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days554CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days212.1CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1439780, 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 20 September 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,206,509CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$947,759CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,258,750CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,982,137CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$276,613CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$267,856CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$544,469CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $544,469 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,639CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components138CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days223.35CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days120.57CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395361, 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 21 August 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$5,166,500CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$579,266CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,587,234CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,336,267CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$250,967CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$166,071CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$417,038CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $417,038 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,878CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components121CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days193.16CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.96CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362654, 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 21 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$3,521,131CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$301,491CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,219,640CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,661,009CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$558,631CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,522CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$561,153CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $561,153 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components45CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,732CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components49CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days43.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days314.81CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days198.61CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1333315, 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 25 November 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$2,451,888CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$426,766CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,878,654CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,973,130CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$94,476CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$178,266CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$83,790CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $83,790 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,178CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components36CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.27CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days254.94CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305510, 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 3 December 2020.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$2,215,968CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$373,635CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,589,603CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,705,011CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$115,408CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$4,358CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$111,050CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$111,050 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,240CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components18CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days57.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days513.33CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1274801, 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 24 July 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$2,507,733CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$168,607CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,676,340CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,730,218CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$53,878CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$6,131CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$47,747CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$47,747 (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%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,133CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components22CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days415.14CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1238045, 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 27 July 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$2,429,550CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$106,539CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,536,089CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,754,415CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$218,326CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,291CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$213,035CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$213,035 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,377CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components36CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.11CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days338.36CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days260.47CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1203420, 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 July 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$2,984,536CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$21,033CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,005,569CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,823,370CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$182,199CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,490CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$184,689CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $184,688 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,984CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components76CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days25.95CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days144.53CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1169806, 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 15 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$2,880,245CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$21,033CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,901,278CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,910,458CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$9,180CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$241CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$8,939CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$8,940 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components10,674CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components57CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.46CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days187.26CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1141245, 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 25 July 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$3,605,049CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$337,271CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,267,778CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,368,456CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$100,678CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$41,591CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$59,087CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$59,086 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,810CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components78CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41.74CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days164.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1104497, 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 23 July 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$3,470,454CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$410,951CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,059,503CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,762,916CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$296,587CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$5,383CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$301,970CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $301,970 (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%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,848CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components98CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days49.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days131.1CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1073269, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 October 2012 to 31 December 2012 — a reporting period of 91 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$891,726CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$107,878CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$783,848CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$655,877CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$127,971CMS-2540-10 worksheet G300000 line 500 column 100
Net income after other income$127,971CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $127,971 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components2,809CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components34CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days15.53CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days82.62CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1043134, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2011, ended 31 December 2011

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

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$2,145,313CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$30,721CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$2,114,592CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$2,529,789CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$415,197CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$458CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$414,739CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$414,739 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components9,743CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components88CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days24.3CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days110.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1016927, 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 8 May 2012.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$2,702,947CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,936,046CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$233,099CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$1,645CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$104,102CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$127,352 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components13,662CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components55CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days74.86CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days248.4CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 428722, 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 22 June 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$2,314,412CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,810,555CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$496,143CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$1,345CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$11,551CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: −$485,937 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components13,074CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components58CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53.77CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days225.41CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 407145, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 31 December 2008

Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 6 May 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$2,771,418CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,651,899CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$119,519CMS-2540-96 worksheet G300000 line 500 column 100
Total other income−$13,405CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses$63,004CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $43,110 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components13,431CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components106CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days57.71CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days126.71CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 368968, 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 25 March 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$2,765,311CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,021,410CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$256,099CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$76,608CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$179,491 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2007
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components17,587CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components67CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days73.74CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days262.49CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 335872, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

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

None of these figures is carried on this report.

CMS report record 311307, 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 15 March 2007.

None of these figures is carried on this report.

CMS report record 274920, 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 January 2006.

None of these figures is carried on this report.

CMS report record 241311, 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 24 August 2005.

None of these figures is carried on this report.

CMS report record 231553, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 31 December 2002

Cost report for 1 October 2002 to 31 December 2002 — a reporting period of 91 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 18 February 2004.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$645,838CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$604,065CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$41,773CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$2,227CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $44,000 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2002
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components4,569CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components19CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days59.93CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days240.47CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 169097, read from the public cost report file SNFFY2003.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.

Revenue and expenses, fiscal year 2001
FigureAs filedWhere it comes from
Net patient revenue$2,399,988CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,473,968CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$73,980CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$6,712CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$67,268 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2001
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components17,096CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components80CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days51.98CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days213.7CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 146209, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 2 March 2000 to 31 December 2000 — a reporting period of 304 days, on form CMS-2540-96, settled, processed by CMS on 22 January 2002.

Revenue and expenses, fiscal year 2000
FigureAs filedWhere it comes from
Net patient revenue$1,785,989CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$1,958,237CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$172,248CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$5,965CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$166,283 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2000
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components13,598CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components59CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days47.68CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days230.47CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 14039, 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 10 August 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$1,794,604CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,018,728CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$224,124CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$28,324CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$195,800 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1999
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components15,457CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components72CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.63CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days662.24CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days214.68CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 3812, 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, settled, processed by CMS on 19 September 2000.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$2,877,735CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,080,929CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients−$203,194CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$16,444CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$186,750 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1998
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components18,406CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components90CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days40.81CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,504.88CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days204.51CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 3810, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 February 1997 to 31 December 1997 — a reporting period of 333 days, on form CMS-2540-96, settled with audit, processed by CMS on 30 September 1999.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$2,759,383CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,563,853CMS-2540-96 worksheet G200002 line 1500 column 100
Net income from service to patients$195,530CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$22,818CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $218,348 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1997
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components17,749CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components107CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days41.65CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days707.31CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days165.88CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 3808, 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.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
CIBC BANK USA5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 11/01/2020
1802 DOWLING PROPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
ADVANCED CARE CONSULTANTS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 09/01/2022
BLUE MANAGEMENT SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2024
CLINICAL CONSULTING SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
FIRST BANK OF BERNEADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2020
HILL, ANTHONYADP OF THE SNFIndividualNOT APPLICABLEsince 03/14/2022
JSJ HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/24/2026
JSJ PROPERTY LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
KENDALLVILLE NURSING AND REHAB LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
LME FAMILY HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
MIDWEST IN OPCO LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 02/24/2026
OFFERLE, ANDREWADP OF THE SNFIndividualNOT APPLICABLEsince 01/02/2021
SAMARA FAMILY HOLDINGS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
SUMMATION FINANCIAL SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
GREATOREX, TINAINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 02/24/2026
SCHIOWITZ, MARCINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 02/24/2026
SEBBAG, GABRIELINDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNFIndividualNOT APPLICABLEsince 02/24/2026
BORNE-BAUMAN, CANDICEMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2019
FLUECKIGER, RUSSELLMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2012
LEHMAN, SCOTTMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 07/14/2020
MACKLIN, LARRYMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 10/01/2012
MCINTIRE, DAVIDMANAGING CONTROL - GOVERNING BODYIndividualNOT APPLICABLEsince 01/01/2019
ADAMS COUNTY MEMORIAL HOSPITALOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 10/01/2012
BORNE-BAUMAN, CANDICEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2019
FLUECKIGER, RUSSELLOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2012
HILL, ANTHONYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/14/2022
KENDALLVILLE NURSING AND REHAB LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 11/01/2020
LEHMAN, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/14/2020
MACKLIN, LARRYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2012
MCINTIRE, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2019
OFFERLE, ANDREWOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/02/2021
SMITH, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2020
SPRUNGER, KYLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2018
WHEELER, DANEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 10/01/2012

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ADAMS COUNTY MEMORIAL HOSPITAL (enrollment ID O20121120000150).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ADAMS COUNTY MEMORIAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/1/2012
Private equity company: No
Real estate investment trust: No
Holding company: No
CIBC BANK USAOrganization5% OR GREATER MORTGAGE INTEREST10011/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
1802 DOWLING PROPCO LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
ADVANCED CARE CONSULTANTS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.9/1/2022
Private equity company: No
Real estate investment trust: No
Holding company: No
ANDREW OFFERLEIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/2/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANTHONY HILLIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/14/2022
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.
BLUE MANAGEMENT SERVICES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
CLINICAL CONSULTING SERVICES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
FIRST BANK OF BERNEOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
JSJ HOLDINGS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/24/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
JSJ PROPERTY LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
KENDALLVILLE NURSING AND REHAB LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
LME FAMILY HOLDINGS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
MIDWEST IN OPCO LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/24/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
SAMARA FAMILY HOLDINGS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
SUMMATION FINANCIAL SERVICES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
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.OrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/24/2026
Private equity company: No
Real estate investment trust: No
Holding company: No
CANDICE BORNE-BAUMANIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID MCINTIREIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LARRY MACKLINIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2012
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RUSSELL W FLUECKIGERIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2012
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SCOTT E LEHMANIndividualMANAGING CONTROL - GOVERNING BODYCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/14/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ADAMS COUNTY MEMORIAL HOSPITALOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2012
Private equity company: No
Real estate investment trust: No
Holding company: No
ANDREW OFFERLEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/2/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ANTHONY HILLIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/14/2022
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.
CANDICE BORNE-BAUMANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DANE WHEELERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2012
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID MCINTIREIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KENDALLVILLE NURSING AND REHAB LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
KYLE SPRUNGERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LARRY MACKLINIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2012
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RUSSELL W FLUECKIGERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/1/2012
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SCOTT E LEHMANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/14/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SCOTT T SMITHIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
130 January 202630 January 202605
227 January 202527 January 202543
37 February 20247 February 202434

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

Deficiencies cited

7 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
27 January 2025HealthF 0695Quality of Life and Care DeficienciesProvide safe and appropriate respiratory care for a resident when needed.DNoDeficient, Provider has date of correction13 February 2025
27 January 2025HealthF 0756Pharmacy Service DeficienciesEnsure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.DNoDeficient, Provider has date of correction13 February 2025
27 January 2025HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.ENoDeficient, Provider has date of correction13 February 2025
27 August 2024HealthF 0600Freedom from Abuse, Neglect, and Exploitation DeficienciesProtect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.DYesDeficient, Provider has date of correction9 September 2024
7 February 2024HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DYesDeficient, Provider has date of correction21 February 2024
7 February 2024HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EYesDeficient, Provider has date of correction21 February 2024
7 February 2024HealthF 0921Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.DYesDeficient, Provider has date of correction21 February 2024

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

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services1992-12-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishNoble
Telephone Number2603474374
Chain NameIDE MANAGEMENT GROUP
Chain ID278
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds60
Average Number of Residents per Day50.6
Overall Rating5
Health Inspection Rating5
QM Rating5
Long-Stay QM Rating5
Processing Date2026-08-01

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

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On 1 July 2026: ADAMS COUNTY MEMORIAL HOSPITAL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for KENDALLVILLE MANOR

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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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 155482.