Skilled nursing facility · CMS certification number 155523
RICHLAND BEAN BLOSSOM HEALTH CARE CENTER
ELLETTSVILLE, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 74
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 29 August 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,440,118 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$267,302 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,707,420 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,505,496 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,201,924 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $37,984 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,239,908 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,239,908 (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 | 74 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 27,084 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 939 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 10,630 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 9,692 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 21,261 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 22 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 52 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 91 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.24 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 483.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 233.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1436701, 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 9 August 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,544,364 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $359,748 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,184,616 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,228,158 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$43,542 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $12,835 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$30,707 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$30,707 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 19,962 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.65 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 209.98 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 127.96 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1391697, 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 19 July 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,426,079 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | −$269,701 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,695,780 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,089,864 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$394,084 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $190,418 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$203,666 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$203,666 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 16,647 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.14 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 486.46 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 138.73 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1389888, 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 10 June 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,704,754 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $662,733 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,042,021 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,794,660 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$752,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $376,219 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$376,420 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$376,420 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 14,201 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 88 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 112.57 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 361.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 161.38 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1319119, 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 26 January 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,405,022 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $37,464 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $7,367,558 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,747,836 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $619,722 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $444,660 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,064,382 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,064,382 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 18,578 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 80 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 117.69 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 286.38 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 232.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1309404, 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 14 April 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,916,204 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $314,407 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,601,797 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,078,318 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $523,479 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,826 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $527,305 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $527,305 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,571 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 59 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 135.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 500.52 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 348.66 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1282220, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,210,972 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $505,112 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,705,860 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,250,275 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $455,585 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,360 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $458,945 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $458,945 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,040 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 119 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 294.65 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 176.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238046, 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 1 August 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,305,847 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $778,299 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,527,548 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,215,967 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $311,581 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $2,038 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $313,619 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $313,619 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,978 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 197 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 62.93 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 167.47 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 116.64 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1204108, read from the public cost report file SNF10FY2017.zip.
Fiscal year 2016, ended 31 December 2016
Cost report for 1 July 2016 to 31 December 2016 — a reporting period of 183 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 18 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $3,831,714 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $582,755 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $3,248,959 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,484,056 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$235,097 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $691 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$234,406 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$234,406 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 12,709 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 211 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 35.03 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 91.99 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 60.23 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1169810, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 30 June 2015
Cost report for 1 June 2015 to 30 June 2015 — a reporting period of 29 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 7 March 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $648,474 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $59,371 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $589,103 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $500,910 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $88,193 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,466 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $89,659 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $89,659 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 2,212 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 15 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 63 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 222.71 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 147.47 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1119994, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 30 June 2014
Cost report for 1 July 2013 to 30 June 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 26 January 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,457,805 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,295,918 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,161,887 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,702,727 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $459,160 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,330 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $462,490 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $462,490 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,786 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 283 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 36.26 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 245.13 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 94.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1084998, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2013, ended 30 June 2013
Cost report for 1 November 2012 to 30 June 2013 — a reporting period of 241 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 4 February 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,734,197 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $710,676 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,023,521 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,631,678 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $391,843 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $3,572 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $395,415 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $395,415 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 17,534 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 145 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 65.52 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 243.95 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.92 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1055129, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 October 2012
Cost report for 1 July 2012 to 31 October 2012 — a reporting period of 122 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 21 August 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $2,402,664 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $188,948 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $2,213,716 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,836,956 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $376,760 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $1,223 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $377,983 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $377,983 (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 | 79 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 8,964 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 59.12 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 289.88 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 135.82 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1047090, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 30 June 2011
Cost report for 1 July 2010 to 30 June 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 November 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,651,794 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,303,373 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $348,421 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,652 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $52,727 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $301,346 (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 | 27,086 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 138 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.03 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 323.2 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 196.28 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 433593, read from the public cost report file SNFFY2010.zip.
Fiscal year 2010, ended 30 June 2010
Cost report for 1 July 2009 to 30 June 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 October 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,853,061 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,604,950 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $248,111 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $7,674 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $255,785 (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 | 24,743 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 121 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 57.52 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 470.81 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 204.49 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 418933, read from the public cost report file SNFFY2009.zip.
Fiscal year 2009, ended 30 June 2009
Cost report for 1 July 2008 to 30 June 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,629,829 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,406,201 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $223,628 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $9,818 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $233,446 (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 | 24,834 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 136 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 41.69 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 487.48 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 182.6 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384759, read from the public cost report file SNFFY2008.zip.
Fiscal year 2008, ended 30 June 2008
Cost report for 1 July 2007 to 30 June 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 28 August 2009.
None of these figures is carried on this report.
CMS report record 355636, read from the public cost report file SNFFY2007.zip.
Fiscal year 2007, ended 30 June 2007
Cost report for 1 July 2006 to 30 June 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 24 September 2008.
None of these figures is carried on this report.
CMS report record 326080, read from the public cost report file SNFFY2006.zip.
Fiscal year 2006, ended 30 June 2006
Cost report for 1 July 2005 to 30 June 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 May 2007.
None of these figures is carried on this report.
CMS report record 277922, read from the public cost report file SNFFY2005.zip.
Fiscal year 2005, ended 30 June 2005
Cost report for 1 July 2004 to 30 June 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 August 2006.
None of these figures is carried on this report.
CMS report record 261352, read from the public cost report file SNFFY2004.zip.
Fiscal year 2004, ended 30 June 2004
Cost report for 1 July 2003 to 30 June 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 27 October 2005.
None of these figures is carried on this report.
CMS report record 235638, read from the public cost report file SNFFY2003.zip.
Fiscal year 2003, ended 30 June 2003
Cost report for 1 July 2002 to 30 June 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 October 2005.
None of these figures is carried on this report.
CMS report record 234045, read from the public cost report file SNFFY2002.zip.
Fiscal year 2002, ended 30 June 2002
Cost report for 1 July 2001 to 30 June 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 May 2003.
None of these figures is carried on this report.
CMS report record 143345, read from the public cost report file SNFFY2001.zip.
Fiscal year 2001, ended 30 June 2001
Cost report for 1 July 2000 to 30 June 2001 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 11 February 2003.
Net income, stated at moderate confidence: −$9,159 (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.
CMS report record 114629, read from the public cost report file SNFFY2000.zip.
Fiscal year 2000, ended 30 June 2000
Cost report for 1 July 1999 to 30 June 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 February 2002.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,044,175 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,296,579 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$252,404 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,859 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$245,545 (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 | 28,219 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 49 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 42.9 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,286.94 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 575.9 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14328, read from the public cost report file SNFFY1999.zip.
Fiscal year 1999, ended 30 June 1999
Cost report for 1 July 1998 to 30 June 1999 — a reporting period of 364 days, on form CMS-2540-96, as submitted, processed by CMS on 15 June 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,394,817 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,259,534 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $135,283 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,803 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $142,086 (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 | 28,022 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 66 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 101.74 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,257.93 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 424.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14327, read from the public cost report file SNFFY1998.zip.
Fiscal year 1998, ended 30 June 1998
Cost report for 1 July 1997 to 30 June 1998 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 October 2000.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,185,190 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,160,303 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $24,887 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $31,662 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $56,549 (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 | 27,881 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 48 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 114.14 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 580.85 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14325, read from the public cost report file SNFFY1997.zip.
Fiscal year 1997, ended 30 June 1997
Cost report for 1 July 1996 to 30 June 1997 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 26 November 1999.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,231,294 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,231,893 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$599 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,515 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $25,106 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$20,190 (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 | 28,367 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 85 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 69.7 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 333.73 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14324, read from the public cost report file SNFFY1996.zip.
Fiscal year 1996, ended 30 June 1996
Cost report for 1 July 1995 to 30 June 1996 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 1 April 1998.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,177,236 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $2,750,455 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $426,781 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $5,648 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | −$9,367 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: $441,796 (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 | 28,115 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 60 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 124.29 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 468.58 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 14322, read from the public cost report file SNFFY1995.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 |
|---|---|---|---|---|
| PUTNAM COUNTY HOSPITAL | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 06/01/2015 |
| DAVIS, TONIA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/14/2025 |
| HHSS MANAGEMENT, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2020 |
| HOOSIER CARE PROPERTIES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/01/2015 |
| HOOSIER WEST LEASING COMPANY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/06/2012 |
| MARTIN, THOMAS | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2021 |
| RBB FACILITIES COMPANY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/06/2012 |
| RICHLAND BEAN BLOSSOM LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/19/2025 |
| LOUDERMILK, CHRISTOPHER | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 09/19/2025 |
| BRAY, ARNOLD | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/01/2012 |
| FRY, JANICE | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/01/2012 |
| HEADLEY, MATTHEW | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/01/2012 |
| LANDRY, KEITH | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/01/2020 |
| LEWIS, KATRINA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 12/21/2022 |
| SILLERY, DEBRA | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 01/03/2026 |
| UNDERWOOD, WENDELL | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 05/20/2024 |
| WEATHERFORD, DENNIS | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 09/18/2012 |
| WOOD, MARK | MANAGING CONTROL - GOVERNING BODY | Individual | NOT APPLICABLE | since 08/05/2024 |
| DAVIS, TONIA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/14/2025 |
| HHSS MANAGEMENT, LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 04/01/2020 |
| MARTIN, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2021 |
| RICHLAND BEAN BLOSSOM LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/06/2012 |
| WEATHERFORD, DENNIS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 09/18/2012 |
| SILLERY, DEBRA | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/03/2026 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of PUTNAM COUNTY HOSPITAL (enrollment ID O20151028002064).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| PUTNAM COUNTY HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 6/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| HHSS MANAGEMENT, 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. | 4/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| HOOSIER CARE PROPERTIES INC | 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. | 6/1/2015 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| HOOSIER WEST LEASING COMPANY 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. | 11/6/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| RBB FACILITIES COMPANY 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. | 11/6/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| RICHLAND BEAN BLOSSOM 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. | 9/19/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| THOMAS JAMES MARTIN | 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. | 1/1/2021 | 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. |
| TONIA L DAVIS | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/14/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| ARNOLD D BRAY | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2012 | Private equity company: CMS paused 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. |
| DEBRA K SILLERY | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/3/2026 | 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. |
| DENNIS A WEATHERFORD | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/18/2012 | 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. |
| JANICE M FRY | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2012 | Private equity company: CMS paused 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. |
| KATRINA ANN LEWIS | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 12/21/2022 | 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. |
| KEITH P LANDRY | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2020 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK WOOD | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 8/5/2024 | 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. |
| MATTHEW L HEADLEY | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2012 | Private equity company: CMS paused 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. |
| WENDELL UNDERWOOD | Individual | MANAGING CONTROL - GOVERNING BODY | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 5/20/2024 | 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. |
| DENNIS A WEATHERFORD | 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. | 9/18/2012 | 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. |
| HHSS MANAGEMENT, 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. | 4/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| RICHLAND BEAN BLOSSOM 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. | 11/6/2012 | Private equity company: No Real estate investment trust: No Holding company: No |
| THOMAS JAMES MARTIN | 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. | 1/1/2021 | 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. |
| TONIA L DAVIS | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 4/14/2025 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DEBRA K SILLERY | Individual | TRUSTEE 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. | 1/3/2026 | 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. |
Changes in ownership
- 1 July 2026: RICHLAND BEAN BLOSSOM LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RICHLAND BEAN BLOSSOM LLC 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: RICHLAND BEAN BLOSSOM LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RICHLAND BEAN BLOSSOM LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DEBRA K SILLERY appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DEBRA K SILLERY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 November 2025: KATRINA ANN LEWIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JACQUELINE M ROUTT no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENNIS A WEATHERFORD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENNIS A WEATHERFORD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ROBERT N MANN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JANICE M FRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ARNOLD D BRAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KEITH P LANDRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CAROLYN GRUBB no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENNIS D O'HAIR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MATTHEW L HEADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KATRINA ANN LEWIS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MARK WOOD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: WENDELL UNDERWOOD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENNIS A WEATHERFORD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENNIS A WEATHERFORD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HOOSIER CARE PROPERTIES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JANICE M FRY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HOOSIER WEST LEASING COMPANY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ARNOLD D BRAY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KEITH P LANDRY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: THOMAS JAMES MARTIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: THOMAS JAMES MARTIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HHSS MANAGEMENT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HHSS MANAGEMENT, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MATTHEW L HEADLEY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: TONIA L DAVIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: TONIA L DAVIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: RBB FACILITIES COMPANY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: RICHLAND BEAN BLOSSOM LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 15 March 2023: KATRINA ANN LEWIS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
- 15 February 2023: JUDY C JOHNSON no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: KEITH M ERNST no longer appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: STACIE L TURNER no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: BRENDA CAMPBELL no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
- 15 February 2023: JACQUELINE M ROUTT appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-02-15.csv
Recent changes on this record
- 1 July 2026: RICHLAND BEAN BLOSSOM LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RICHLAND BEAN BLOSSOM LLC 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: RICHLAND BEAN BLOSSOM LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: RICHLAND BEAN BLOSSOM LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DEBRA K SILLERY appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: DEBRA K SILLERY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 November 2025: KATRINA ANN LEWIS no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JACQUELINE M ROUTT no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENNIS A WEATHERFORD no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENNIS A WEATHERFORD no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ROBERT N MANN no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JANICE M FRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ARNOLD D BRAY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KEITH P LANDRY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: CAROLYN GRUBB no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENNIS D O'HAIR no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MATTHEW L HEADLEY no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KATRINA ANN LEWIS appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MARK WOOD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: WENDELL UNDERWOOD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENNIS A WEATHERFORD appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: DENNIS A WEATHERFORD appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HOOSIER CARE PROPERTIES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: JANICE M FRY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HOOSIER WEST LEASING COMPANY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: ARNOLD D BRAY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: KEITH P LANDRY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: THOMAS JAMES MARTIN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: THOMAS JAMES MARTIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HHSS MANAGEMENT, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: HHSS MANAGEMENT, LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: MATTHEW L HEADLEY appears as MANAGING CONTROL - GOVERNING BODY in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: TONIA L DAVIS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: TONIA L DAVIS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: RBB FACILITIES COMPANY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 1 November 2025: RICHLAND BEAN BLOSSOM LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2025-11-01.csv
- 29 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 9 August 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 19 July 2024: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
- 15 March 2023: KATRINA ANN LEWIS appears as DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 10 April 2026 | 10 April 2026 | 5 | 6 |
| 2 | 9 May 2025 | 9 May 2025 | 14 | 17 |
| 3 | 12 July 2024 | 12 July 2024 | 6 | 4 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
25 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 10 April 2026 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | E | No | Deficient, Provider has date of correction | 12 May 2026 |
| 10 April 2026 | Health | F 0640 | Resident Assessment and Care Planning Deficiencies | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | No | Deficient, Provider has date of correction | 12 May 2026 |
| 10 April 2026 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 12 May 2026 |
| 10 April 2026 | Health | F 0851 | Administration Deficiencies | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | No | Deficient, Provider has date of correction | 12 May 2026 |
| 9 December 2025 | 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 | Yes | Deficient, Provider has date of correction | 16 December 2025 |
| 9 May 2025 | Health | F 0552 | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. | D | No | Deficient, Provider has date of correction | 15 June 2025 |
| 9 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. | D | No | Deficient, Provider has date of correction | 15 June 2025 |
| 9 May 2025 | Health | F 0558 | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. | D | No | Deficient, Provider has date of correction | 15 June 2025 |
| 9 May 2025 | Health | F 0565 | Resident Rights Deficiencies | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | No | Deficient, Provider has date of correction | 15 June 2025 |
| 9 May 2025 | Health | F 0574 | Resident Rights Deficiencies | The resident has the right to receive notices in a format and a language he or she understands. | C | No | Deficient, Provider has date of correction | 15 June 2025 |
| 9 May 2025 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | No | Deficient, Provider has date of correction | 15 June 2025 |
| 9 May 2025 | Health | F 0641 | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. | D | No | Deficient, Provider has date of correction | 15 June 2025 |
| 9 May 2025 | Health | F 0679 | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. | E | No | Deficient, Provider has date of correction | 15 June 2025 |
| 9 May 2025 | Health | F 0686 | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | D | No | Deficient, Provider has date of correction | 15 June 2025 |
| 9 May 2025 | Health | F 0688 | Quality of Life and Care Deficiencies | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | No | Deficient, Provider has date of correction | 15 June 2025 |
| 9 May 2025 | Health | F 0725 | Nursing and Physician Services Deficiencies | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | No | Deficient, Provider has date of correction | 15 June 2025 |
| 9 May 2025 | Health | F 0804 | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Yes | Deficient, Provider has date of correction | 15 June 2025 |
| 9 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 | 15 June 2025 |
| 24 September 2024 | 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 | Yes | Past Non-Compliance | 11 September 2024 |
| 12 July 2024 | Health | F 0655 | Resident Assessment and Care Planning Deficiencies | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | No | Deficient, Provider has date of correction | 7 August 2024 |
| 12 July 2024 | Health | F 0661 | Resident Assessment and Care Planning Deficiencies | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | No | Deficient, Provider has date of correction | 7 August 2024 |
| 12 July 2024 | 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 | 7 August 2024 |
| 12 July 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. | D | No | Deficient, Provider has date of correction | 7 August 2024 |
| 8 February 2024 | Health | F 0580 | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Yes | Deficient, Provider has date of correction | 23 February 2024 |
| 8 February 2024 | Health | F 0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Protect each resident from the wrongful use of the resident's belongings or money. | D | Yes | Past Non-Compliance | 10 January 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
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Non profit - Corporation |
| Legal Business Name | PUTNAM COUNTY HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 1994-06-03 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | Y |
| County/Parish | Monroe |
| Telephone Number | 8128766400 |
| 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 | 74 |
| Average Number of Residents per Day | 55.2 |
| Overall Rating | 1 |
| Health Inspection Rating | 2 |
| QM Rating | 3 |
| Long-Stay QM Rating | 4 |
| Short-Stay QM Rating | 2 |
| 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 July 2026: RICHLAND BEAN BLOSSOM LLC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
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The citable document for RICHLAND BEAN BLOSSOM HEALTH CARE CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Indiana at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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