Velarion Records

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Skilled nursing facility · CMS certification number 155578

MILLER'S MERRY MANOR

NEW CARLISLE, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 70

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 10 October 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$5,941,158CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$276,616CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,664,542CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,440,443CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$775,901CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$9,513CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$766,388CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$766,388 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components25,620CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days1,309CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days9,448CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days3,623CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components14,380CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges34CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges22CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges61CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components117CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days38.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days429.45CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days122.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1440423, 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 24 September 2024.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$6,320,722CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$188,922CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,131,800CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$7,372,604CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$1,240,804CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$18,517CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$1,222,287CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,222,287 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,664CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components102CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.56CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days533.81CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days163.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395619, 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 22 September 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$5,586,829CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$142,950CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,443,879CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,401,944CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$958,065CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$26,761CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$931,304CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$931,304 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,919CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components91CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days32.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,120.27CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days196.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1365241, 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 17 October 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,013,276CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$322,660CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,690,616CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,799,426CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$108,810CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$71,272CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$37,538CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$37,538 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,815CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components115CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days28.43CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days676.45CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days154.91CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1335219, 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 18 May 2022.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$6,836,662CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$541,090CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,295,572CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,956,223CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$339,349CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$701,502CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,040,851CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,040,851 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,984CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components93CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days36.5CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,027.69CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days214.88CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1316204, 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 15 March 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$6,744,519CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$653,913CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,090,606CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,711,913CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$378,693CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$57,022CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$435,715CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $435,715 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,550CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components112CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days53.05CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days522.17CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days183.48CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1281244, read from the public cost report file SNF10FY2019.zip.

Fiscal year 2018, ended 31 December 2018

Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 5 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$6,356,574CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$507,999CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,848,575CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,509,996CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$338,579CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$36,546CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$375,125CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $375,125 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,489CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components101CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days33.84CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days837.27CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days202.86CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1239512, 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 22 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$5,657,741CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$507,200CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,150,541CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,940,978CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$209,563CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$38,988CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$248,551CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $248,551 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,111CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components102CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days37.17CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,687.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days187.36CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209989, 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 7 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$5,565,617CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$496,742CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,068,875CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,921,386CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$147,489CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$21,722CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$169,211CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $169,211 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,910CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components118CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days40.83CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days817.64CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days160.25CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1172235, 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 9 August 2016.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$5,986,802CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$425,826CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,560,976CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,969,021CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$591,955CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$15,580CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$607,535CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $607,535 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components19,704CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components111CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days48.71CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days556.43CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days177.51CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1140249, 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 27 July 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$6,253,826CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$472,191CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,781,635CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,911,843CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$869,792CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$17,166CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$886,958CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $886,958 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,523CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components131CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.72CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days376.18CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days141.4CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105479, read from the public cost report file SNF10FY2014.zip.

Fiscal year 2013, ended 31 December 2013

Cost report for 1 June 2013 to 31 December 2013 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 15 August 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$3,344,482CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$221,805CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,122,677CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,073,916CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$48,761CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,907CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$57,668CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $57,668 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components11,008CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components62CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.09CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days688.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days177.55CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1076213, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 30 September 2012

Cost report for 1 October 2011 to 30 September 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 22 April 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$4,979,842CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$271,934CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,707,908CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,937,768CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$770,140CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$23,512CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$793,652CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $793,652 (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 components70CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,055CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components93CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days65.89CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days539.86CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days215.65CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1027805, read from the public cost report file SNF10FY2012.zip.

Fiscal year 2011, ended 30 September 2011

Cost report for 1 October 2010 to 30 September 2011 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 19 April 2013.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Net patient revenue$4,408,102CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,999,143CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$408,959CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$20,445CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $429,404 (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 2011
FigureAs filedWhere it comes from
Total facility beds, all components70CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components19,674CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components100CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54.98CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days537.42CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days196.74CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 434460, read from the public cost report file SNFFY2011.zip.

Fiscal year 2010, ended 30 September 2010

Cost report for 1 October 2009 to 30 September 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 21 November 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$4,273,685CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,046,663CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$227,022CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$19,683CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $246,705 (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 components70CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,585CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components66CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days55.84CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days3,241.5CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days311.89CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 420471, read from the public cost report file SNFFY2010.zip.

Fiscal year 2009, ended 30 September 2009

Cost report for 1 October 2008 to 30 September 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 7 December 2010.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$4,240,021CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,838,005CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$402,016CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$18,652CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $420,668 (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 components70CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,694CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components93CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days53CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days837.07CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days222.52CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 390498, read from the public cost report file SNFFY2009.zip.

Fiscal year 2008, ended 30 September 2008

Cost report for 1 October 2007 to 30 September 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 29 October 2009.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$4,457,566CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$4,103,029CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$354,537CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$21,678CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $376,215 (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 components70CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components22,834CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components71CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days78.23CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days874.06CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days321.61CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 358417, read from the public cost report file SNFFY2008.zip.

Fiscal year 2007, ended 30 September 2007

Cost report for 1 October 2006 to 30 September 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 4 February 2009.

Revenue and expenses, fiscal year 2007
FigureAs filedWhere it comes from
Net patient revenue$4,492,864CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,820,144CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$672,720CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$18,962CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $691,682 (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 components70CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,698CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components77CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days75.48CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days1,412.6CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days307.77CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 333177, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 30 September 2006

Cost report for 1 October 2005 to 30 September 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 February 2008.

None of these figures is carried on this report.

CMS report record 302660, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 30 September 2005

Cost report for 1 October 2004 to 30 September 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 30 November 2006.

None of these figures is carried on this report.

CMS report record 267304, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 30 September 2004

Cost report for 1 October 2003 to 30 September 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 241314, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 30 September 2003

Cost report for 1 October 2002 to 30 September 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 231556, read from the public cost report file SNFFY2003.zip.

Fiscal year 2002, ended 30 September 2002

Cost report for 1 October 2001 to 30 September 2002 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 29 October 2003.

Revenue and expenses, fiscal year 2002
FigureAs filedWhere it comes from
Net patient revenue$3,202,845CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,829,528CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$373,317CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$15,966CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $389,283 (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 2002
FigureAs filedWhere it comes from
Total facility beds, all components70CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,715CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components61CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days54.89CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, Medicaid, in days947.72CMS-2540-96 worksheet S300001 line 900 column 1500
Average length of stay, all patients, in days388.77CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 162335, read from the public cost report file SNFFY2002.zip.

Fiscal year 2001, ended 30 September 2001

Cost report for 1 January 2001 to 30 September 2001 — a reporting period of 272 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 13 February 2003.

None of these figures is carried on this report.

CMS report record 125609, read from the public cost report file SNFFY2001.zip.

Fiscal year 2000, ended 31 December 2000

Cost report for 1 January 2000 to 31 December 2000 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 9 November 2001.

Net income, stated at moderate confidence: $406,296 (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 14704, 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 30 May 2001.

Revenue and expenses, fiscal year 1999
FigureAs filedWhere it comes from
Net patient revenue$2,943,562CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,479,772CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$463,790CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$11,688CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $475,478 (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 components70CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,112CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components87CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days49.89CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days277.15CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 14703, 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, reopened, processed by CMS on 28 August 2003.

Revenue and expenses, fiscal year 1998
FigureAs filedWhere it comes from
Net patient revenue$2,984,063CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,567,326CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$416,737CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$11,528CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $428,265 (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 components70CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,785CMS-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 days67.53CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days432.45CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 158198, read from the public cost report file SNFFY1998.zip.

Fiscal year 1997, ended 31 December 1997

Cost report for 1 January 1997 to 31 December 1997 — a reporting period of 364 days, on form CMS-2540-96, reopened, processed by CMS on 4 August 2003.

Revenue and expenses, fiscal year 1997
FigureAs filedWhere it comes from
Net patient revenue$1,526,610CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,407,707CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$881,097CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$13,016CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$868,081 (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 components70CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components23,539CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components41CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days61.15CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days574.12CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 155981, read from the public cost report file SNFFY1997.zip.

Fiscal year 1996, ended 31 December 1996

Cost report for 1 January 1996 to 31 December 1996 — a reporting period of 365 days, on form CMS-2540-96, reopened, processed by CMS on 28 July 2003.

Revenue and expenses, fiscal year 1996
FigureAs filedWhere it comes from
Net patient revenue$2,328,605CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$2,182,920CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$145,685CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$17,817CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses−$748CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $164,250 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 1996
FigureAs filedWhere it comes from
Total facility beds, all components70CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components24,407CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components53CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days39.36CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days460.51CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 153834, read from the public cost report file SNFFY1996.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
JOHNSON MEMORIAL HOSPITAL5% OR GREATER DIRECT OWNERSHIP INTERESTOrganization100%since 06/01/2013
MARTIN, JACOBCONTRACTED MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 06/24/2019
BERKHOUSE, STEVENCORPORATE DIRECTORIndividualNOT APPLICABLEsince 10/18/2021
DUNKLE, DAVIDCORPORATE DIRECTORIndividualNOT APPLICABLEsince 03/01/2019
BERKHOUSE, STEVENCORPORATE OFFICERIndividualNOT APPLICABLEsince 10/18/2021
DUNKLE, DAVIDCORPORATE OFFICERIndividualNOT APPLICABLEsince 03/01/2019
BOYLE, PATRICKOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2013
DUNKLE, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 03/01/2019
MILLERS HEALTH SYSTEMS INCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 06/01/2013
DECOLA, ROBERTW-2 MANAGING EMPLOYEEIndividualNOT APPLICABLEsince 02/16/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of JOHNSON MEMORIAL HOSPITAL (enrollment ID O20130722000006).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
JOHNSON MEMORIAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST1006/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
JACOB MARTINIndividualCONTRACTED MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/24/2019
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 H DUNKLEIndividualCORPORATE DIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2019
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 H DUNKLEIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2019
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.
STEVEN BERKHOUSEIndividualDIRECTORCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/18/2021
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.
STEVEN BERKHOUSEIndividualOFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.10/18/2021
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.
DAVID H DUNKLEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2019
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.
MILLERS HEALTH SYSTEMS INCOrganizationOPERATIONAL/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.6/1/2013
Private equity company: No
Real estate investment trust: No
Holding company: No
PATRICK H BOYLEIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.3/1/2013
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
ROBERT J DECOLAIndividualW-2 MANAGING EMPLOYEECMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/16/2019
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.

Changes in ownership

Recent changes on this record

  • 1 July 2026: DAVID H DUNKLE 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: DAVID H DUNKLE no longer appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 1 July 2026: DAVID H DUNKLE no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 1 July 2026: DAVID H DUNKLE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 1 July 2026: DAVID H DUNKLE appears as CORPORATE DIRECTOR in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 1 July 2026: DAVID H DUNKLE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
  • 10 October 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
  • 24 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
  • 22 September 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
  • 17 October 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip
  • 18 May 2022: A cost report was filed for fiscal year 2020, on form CMS-2540-10. SNF10FY2020.zip
  • 15 March 2021: A cost report was filed for fiscal year 2019, on form CMS-2540-10. SNF10FY2019.zip
  • 5 August 2019: A cost report was filed for fiscal year 2018, on form CMS-2540-10. SNF10FY2018.zip
  • 22 August 2018: A cost report was filed for fiscal year 2017, on form CMS-2540-10. SNF10FY2017.zip
  • 7 August 2017: A cost report was filed for fiscal year 2016, on form CMS-2540-10. SNF10FY2016.zip
  • 9 August 2016: A cost report was filed for fiscal year 2015, on form CMS-2540-10. SNF10FY2015.zip
  • 27 July 2015: A cost report was filed for fiscal year 2014, on form CMS-2540-10. SNF10FY2014.zip
  • 15 August 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • 18 February 2014: A cost report was filed for fiscal year 2013, on form CMS-2540-10. SNF10FY2013.zip
  • 22 April 2013: A cost report was filed for fiscal year 2012, on form CMS-2540-10. SNF10FY2012.zip
  • 19 April 2013: A cost report was filed for fiscal year 2011, on form CMS-2540-96. SNFFY2011.zip
  • 21 November 2011: A cost report was filed for fiscal year 2010, on form CMS-2540-96. SNFFY2010.zip
  • 7 December 2010: A cost report was filed for fiscal year 2009, on form CMS-2540-96. SNFFY2009.zip
  • 29 October 2009: A cost report was filed for fiscal year 2008, on form CMS-2540-96. SNFFY2008.zip
  • 4 February 2009: A cost report was filed for fiscal year 2007, on form CMS-2540-96. SNFFY2007.zip
  • 20 February 2008: A cost report was filed for fiscal year 2006, on form CMS-2540-96. SNFFY2006.zip
  • 30 November 2006: A cost report was filed for fiscal year 2005, on form CMS-2540-96. SNFFY2005.zip
  • 26 January 2006: A cost report was filed for fiscal year 2004, on form CMS-2540-96. SNFFY2004.zip
  • 24 August 2005: A cost report was filed for fiscal year 2003, on form CMS-2540-96. SNFFY2003.zip
  • 29 October 2003: A cost report was filed for fiscal year 2002, on form CMS-2540-96. SNFFY2002.zip
  • 28 August 2003: A cost report was filed for fiscal year 1998, on form CMS-2540-96. SNFFY1998.zip
  • 4 August 2003: A cost report was filed for fiscal year 1997, on form CMS-2540-96. SNFFY1997.zip
  • 28 July 2003: A cost report was filed for fiscal year 1996, on form CMS-2540-96. SNFFY1996.zip
  • 13 February 2003: A cost report was filed for fiscal year 2001, on form CMS-2540-96. SNFFY2001.zip
  • 9 November 2001: A cost report was filed for fiscal year 2000, on form CMS-2540-96. SNFFY2000.zip
  • 30 May 2001: A cost report was filed for fiscal year 1999, on form CMS-2540-96. SNFFY1999.zip

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
127 June 202527 June 202542
219 August 202419 August 202411
331 July 202331 July 202362

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

Deficiencies cited

11 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
27 June 2025HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction18 July 2025
27 June 2025HealthF 0679Quality of Life and Care DeficienciesProvide activities to meet all resident's needs.DNoDeficient, Provider has date of correction18 July 2025
27 June 2025HealthF 0698Quality of Life and Care DeficienciesProvide safe, appropriate dialysis care/services for a resident who requires such services.DNoDeficient, Provider has date of correction18 July 2025
27 June 2025HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction18 July 2025
19 August 2024HealthF 0677Quality of Life and Care DeficienciesProvide care and assistance to perform activities of daily living for any resident who is unable.DNoDeficient, Provider has date of correction5 September 2024
31 July 2023HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correction27 August 2023
31 July 2023HealthF 0655Resident Assessment and Care Planning DeficienciesCreate and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDNoDeficient, Provider has date of correction27 August 2023
31 July 2023HealthF 0657Resident Assessment and Care Planning DeficienciesDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DNoDeficient, Provider has date of correction27 August 2023
31 July 2023HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JNoDeficient, Provider has date of correction27 August 2023
31 July 2023HealthF 0757Pharmacy Service DeficienciesEnsure each resident’s drug regimen must be free from unnecessary drugs.DNoDeficient, Provider has date of correction27 August 2023
31 July 2023HealthF 0881Infection Control DeficienciesImplement a program that monitors antibiotic use.DNoDeficient, Provider has date of correction27 August 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameJOHNSON MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services1995-09-01
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanY
County/ParishSt. Joseph
Telephone Number5746547244
Chain NameMILLER'S MERRY MANOR
Chain ID352
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds70
Average Number of Residents per Day38.4
Overall Rating4
Health Inspection Rating4
QM Rating4
Long-Stay QM Rating4
Short-Stay QM Rating4
Processing Date2026-08-01

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

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The citable document for MILLER'S MERRY MANOR

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