Skilled nursing facility · CMS certification number 155703
BROOKSIDE VILLAGE INC
JASPER, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 27
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 19 June 2025.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $9,289,966 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,753,107 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,536,859 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,113,798 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $423,061 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $20,323 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $443,384 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $443,384 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 38,430 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 3,489 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 908 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 19,037 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 23,434 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 105 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 4 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 114 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 223 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 33.23 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 227 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 105.09 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1430196, 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 23 September 2024.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $8,763,874 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $3,026,172 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,737,702 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,255,945 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$518,243 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $10,932 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$507,311 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$507,311 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,484 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 225 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 37.7 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 173.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 99.93 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395500, 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 24 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,775,694 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $2,319,395 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,456,299 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,180,863 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$724,564 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $7,176 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$717,388 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$717,388 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,153 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 220 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.25 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 272.5 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 100.7 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1363058, 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 22 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,521,539 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,743,846 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,777,693 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,570,207 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$792,514 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $163,595 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$628,919 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$628,919 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,785 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 172 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.95 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 211.17 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 120.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333595, 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 10 November 2021.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,397,229 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $937,820 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,459,409 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,059,048 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$599,639 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $343,308 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$256,331 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$256,331 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 20,254 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 141 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 1,008 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 143.65 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1303934, 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 17 July 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,131,600 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,202,024 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,929,576 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,887,840 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $41,736 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | −$6,576 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $35,160 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $35,160 (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 | 105 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,645 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 217 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 22.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 210.33 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 104.35 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1260585, 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 13 August 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,245,720 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,268,754 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,976,966 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,938,578 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $38,388 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $8,445 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $46,833 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $46,833 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,783 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 144 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.44 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 253.2 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 158.22 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1240556, 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 24 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,062,753 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,330,883 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,731,870 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,004,781 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$272,911 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $31,208 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$241,703 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$241,703 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 15,900 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 38.51 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 117.78 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1201989, 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 25 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,604,373 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,257,542 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,346,831 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,141,400 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$794,569 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $683,970 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$110,599 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$110,599 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 23,195 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 135 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.3 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 75 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 171.81 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170627, 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 4 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,720,907 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,373,893 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,347,014 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,894,253 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$547,239 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $635,668 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $88,429 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $88,429 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,555 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 130 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.79 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 173.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139734, read from the public cost report file SNF10FY2015.zip.
Fiscal year 2014, ended 31 December 2014
Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,336,080 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $873,274 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,462,806 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,866,665 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$403,859 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $636,429 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $232,570 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $232,570 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,717 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 160 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 49.89 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 141.98 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1104967, read from the public cost report file SNF10FY2014.zip.
Fiscal year 2013, ended 31 December 2013
Cost report for 1 January 2013 to 31 December 2013 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,485,772 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,111,963 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,373,809 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,733,470 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$359,661 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $677,285 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $317,624 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $317,624 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 22,511 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 129 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 46.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 174.5 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1071448, read from the public cost report file SNF10FY2013.zip.
Fiscal year 2012, ended 31 December 2012
Cost report for 1 January 2012 to 31 December 2012 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 23 July 2013.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,191,473 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $1,033,217 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,158,256 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,591,872 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$433,616 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $610,486 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $176,870 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $176,870 (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 | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,761 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 137 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 45.04 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 158.84 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1041522, read from the public cost report file SNF10FY2012.zip.
Fiscal year 2011, ended 31 December 2011
Cost report for 1 January 2011 to 31 December 2011 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 6 December 2012.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $4,720,850 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $210,063 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,510,787 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,606,813 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$96,026 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $531,395 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $435,369 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $382,715 (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%).
| Figure | As filed | Where it comes from |
|---|---|---|
| Total facility beds, all components | 66 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 21,426 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 142 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 50.55 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 150.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1021414, read from the public cost report file SNF10FY2011.zip.
Fiscal year 2010, ended 31 December 2010
Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 14 September 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,146,725 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,163,862 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$17,137 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $619,382 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $602,245 (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 | 66 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,627 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 106 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 47.38 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 194.59 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 417683, read from the public cost report file SNFFY2010.zip.
Fiscal year 2009, ended 31 December 2009
Cost report for 1 January 2009 to 31 December 2009 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 5 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,045,631 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,392,344 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$346,713 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $550,144 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $203,431 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 18,786 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 63 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 45.62 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 298.19 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 384860, read from the public cost report file SNFFY2009.zip.
Fiscal year 2008, ended 31 December 2008
Cost report for 1 January 2008 to 31 December 2008 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 21 August 2009.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,911,411 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,300,352 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$388,941 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $573,239 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $184,298 (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 | 58 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 20,030 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 100 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 200.3 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 355153, read from the public cost report file SNFFY2008.zip.
Fiscal year 2007, ended 31 December 2007
Cost report for 1 January 2007 to 31 December 2007 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 20 August 2008.
None of these figures is carried on this report.
CMS report record 324499, read from the public cost report file SNFFY2007.zip.
Fiscal year 2006, ended 31 December 2006
Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 December 2007.
None of these figures is carried on this report.
CMS report record 297387, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 1 May 2007.
None of these figures is carried on this report.
CMS report record 277094, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 1 January 2004 to 31 December 2004 — a reporting period of 365 days, on form CMS-2540-96, settled, processed by CMS on 26 October 2005.
None of these figures is carried on this report.
CMS report record 235419, read from the public cost report file SNFFY2004.zip.
Fiscal year 2003, ended 31 December 2003
Cost report for 1 January 2003 to 31 December 2003 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 17 December 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,688,100 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $1,677,118 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | $10,982 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $6,559 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: $17,541 (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 | 19 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 5,144 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 67 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 64.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 76.78 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 202943, read from the public cost report file SNFFY2003.zip.
Fiscal year 2002, ended 31 December 2002
Cost report for 25 July 2002 to 31 December 2002 — a reporting period of 159 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 16 July 2004.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $650,777 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $803,714 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$152,937 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $10,262 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$142,675 (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 | 19 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 1,744 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 21 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 58.65 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 83.05 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 187312, read from the public cost report file SNFFY2002.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 |
|---|---|---|---|---|
| MOORE OPERATING GROUP INC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | Organization | 100% | since 01/01/2004 |
| BEACHSIDE HOLDINGS CORPORATION | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | Organization | 100% | since 12/05/2019 |
| ANKURA CONSULTING GROUP LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/15/2022 |
| BALLA, MATTHEW | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/23/2022 |
| BEACHSIDE HOLDINGS CORPORATION | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/21/2025 |
| BRADLEY & ASSOCIATES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2022 |
| CARDON AND ASSOCIATES INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/15/2025 |
| CATTELL, ZACHARY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 04/07/2025 |
| COLE MARKETING COMMUNICATIONS INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/01/2015 |
| EMERSON, MARK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/18/2018 |
| FAUTH, KENDRA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/26/2021 |
| FORVIS MAZARS LLP | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2021 |
| GORMAL, GREGG | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/01/2016 |
| GRANNAN, BRITT | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/27/2007 |
| HAMBLEN, JUDY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2025 |
| HAUG, AMY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/04/2022 |
| HEADLEY, KATHY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2000 |
| HEALTHDRIVE PODIATRY GROUP PA | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/07/2019 |
| HOPKINS, FRANK | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2019 |
| HURST, EVAN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 01/21/2019 |
| JASPER ASSISTED LIVING, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 05/05/1999 |
| JEFFREY L MORER OD PC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/07/2019 |
| JOFFEE, MELISSA | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/01/2023 |
| LACY BEYL & COMPANY INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 07/15/2015 |
| LIFESPAN THERAPY LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 10/25/2007 |
| LOPOSSA, LYNN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/17/2023 |
| MCINTOSH, ERIC | ADP OF THE SNF | Individual | NOT APPLICABLE | since 10/31/2021 |
| MED-PASS INCORPORATED | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2020 |
| MOBILE AUDIOLOGY ASSOCIATES PC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/07/2019 |
| MOORE, STEPHEN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOSER CONSULTING INCORPORATED | ADP OF THE SNF | Organization | NOT APPLICABLE | since 04/23/2020 |
| RESPIRATORY PARTNERS INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2019 |
| RESTUP, LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 06/29/2022 |
| SPENCER, LEAANN | ADP OF THE SNF | Individual | NOT APPLICABLE | since 06/18/2018 |
| THIRD EYE HEALTH INC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/04/2022 |
| VOHRA WOUND PHYSICIANS OF THE WEST PC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 03/03/2021 |
| VOX GLOBAL LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 02/28/2019 |
| HEADLEY, KATHY | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOORE, DANIEL | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOORE, DAVID | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOORE, STEPHEN | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 05/01/2000 |
| HEADLEY, KATHY | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOORE, DANIEL | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOORE, DAVID | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2000 |
| MOORE, STEPHEN | INDIRECT OWNERSHIP INTEREST | Individual | NOT APPLICABLE | since 05/01/2000 |
| BALLA, MATTHEW | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 05/23/2022 |
| CARDON AND ASSOCIATES INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 08/23/2013 |
| CATTELL, ZACHARY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 04/07/2025 |
| FAUTH, KENDRA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/26/2021 |
| GORMAL, GREGG | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/01/2016 |
| GRANNAN, BRITT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/27/2007 |
| HAMBLEN, JUDY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2025 |
| HAUG, AMY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/04/2022 |
| HOPKINS, FRANK | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/21/2019 |
| HURST, EVAN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/21/2019 |
| JOFFEE, MELISSA | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/01/2023 |
| LOPOSSA, LYNN | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 12/17/2023 |
| MCCLELLAND, THOMAS | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/15/2019 |
| MCINTOSH, ERIC | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 10/31/2021 |
| MOORE OPERATING GROUP INC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 05/18/2020 |
Medicare enrollment
As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of BROOKSIDE VILLAGE, INC (enrollment ID O20131002000574).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| MOORE OPERATING GROUP INC | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 1/1/2004 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BEACHSIDE HOLDINGS CORPORATION | Organization | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | 100 | 12/5/2019 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| AMY HAUG | 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. | 1/4/2022 | 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. |
| ANKURA CONSULTING GROUP LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/15/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| BEACHSIDE HOLDINGS CORPORATION | 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. | 5/21/2025 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| BRADLEY & ASSOCIATES 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. | 1/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| BRITT GRANNAN | 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. | 8/27/2007 | 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. |
| CARDON AND ASSOCIATES 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. | 5/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| COLE MARKETING COMMUNICATIONS 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. | 4/1/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| ERIC MCINTOSH | 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. | 10/31/2021 | 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. |
| EVAN B HURST | 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. | 1/21/2019 | 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. |
| FORVIS MAZARS LLP | 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. | 1/1/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| FRANK S HOPKINS | 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. | 1/21/2019 | 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. |
| GREGG GORMAL | 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. | 10/1/2016 | 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. |
| HEALTHDRIVE PODIATRY GROUP PA | 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. | 3/7/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| JASPER ASSISTED LIVING, 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. | 5/5/1999 | Private equity company: No Real estate investment trust: No Holding company: No |
| JEFFREY L MORER OD PC | 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. | 3/7/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| JUDY HAMBLEN | 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. | 1/1/2025 | 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. |
| KATHY L HEADLEY | 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. | 5/1/2000 | 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. |
| KENDRA FAUTH | 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. | 12/26/2021 | 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. |
| LACY BEYL & COMPANY 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. | 7/15/2015 | Private equity company: No Real estate investment trust: No Holding company: No |
| LEAANN RENEE SPENCER | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/18/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| LIFESPAN THERAPY 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. | 10/25/2007 | Private equity company: No Real estate investment trust: No Holding company: No |
| LYNN LOPOSSA | 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. | 12/17/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MARK EMERSON | Individual | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/18/2018 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MATTHEW D BALLA | 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. | 5/23/2022 | 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. |
| MED-PASS INCORPORATED | 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. | 9/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| MELISSA JOFFEE | 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. | 12/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MOBILE AUDIOLOGY ASSOCIATES PC | 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. | 3/7/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| MOSER CONSULTING INCORPORATED | 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. | 4/23/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| RESPIRATORY PARTNERS 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. | 11/1/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| RESTUP, LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 6/29/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| STEPHEN G MOORE | 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. | 5/1/2000 | 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. |
| THIRD EYE HEALTH 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. | 2/4/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| VOHRA WOUND PHYSICIANS OF THE WEST PC | 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. | 3/3/2021 | Private equity company: No Real estate investment trust: No Holding company: No |
| VOX GLOBAL 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. | 2/28/2019 | Private equity company: No Real estate investment trust: No Holding company: No |
| ZACHARY CATTELL | 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. | 4/7/2025 | 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. |
| 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. | 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. | 5/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 5/15/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DANIEL W MOORE | Individual | CORPORATE OFFICER | 25 | 5/1/2000 | 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 C MOORE | Individual | CORPORATE OFFICER | 25 | 5/1/2000 | 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. |
| KATHY L HEADLEY | Individual | CORPORATE OFFICER | 25 | 5/1/2000 | 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. |
| STEPHEN G MOORE | Individual | CORPORATE OFFICER | 25 | 5/1/2000 | 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. |
| DANIEL W MOORE | Individual | INDIRECT OWNERSHIP INTEREST | 25 | 5/1/2000 | 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 C MOORE | Individual | INDIRECT OWNERSHIP INTEREST | 25 | 5/1/2000 | 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. |
| KATHY L HEADLEY | Individual | INDIRECT OWNERSHIP INTEREST | 25 | 5/1/2000 | 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. |
| STEPHEN G MOORE | Individual | INDIRECT OWNERSHIP INTEREST | 25 | 5/1/2000 | 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. |
| AMY HAUG | 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. | 1/4/2022 | 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. |
| BRITT GRANNAN | 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. | 8/27/2007 | 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. |
| CARDON AND ASSOCIATES INC | 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. | 8/23/2013 | Private equity company: No Real estate investment trust: No Holding company: No |
| ERIC MCINTOSH | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/31/2021 | 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. |
| EVAN B HURST | 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. | 1/21/2019 | 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. |
| FRANK S HOPKINS | 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. | 1/21/2019 | 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. |
| GREGG GORMAL | Individual | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 10/1/2016 | 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. |
| JUDY HAMBLEN | 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. | 1/1/2025 | 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. |
| KENDRA FAUTH | 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. | 12/26/2021 | 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. |
| LYNN LOPOSSA | 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. | 12/17/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MATTHEW D BALLA | 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. | 5/23/2022 | 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. |
| MELISSA JOFFEE | 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. | 12/1/2023 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MOORE OPERATING GROUP INC | 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. | 5/18/2020 | Private equity company: No Real estate investment trust: No Holding company: Yes |
| THOMAS MCCLELLAND | 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. | 7/15/2019 | 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. |
| ZACHARY CATTELL | 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. | 4/7/2025 | 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. |
Changes in ownership
- 1 July 2026: COLE MARKETING COMMUNICATIONS INC 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: MOORE OPERATING GROUP INC 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: MOORE OPERATING GROUP INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ERIC MCINTOSH 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: ERIC MCINTOSH 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: ANKURA CONSULTING GROUP 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: THOMAS MCCLELLAND 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: AMY HAUG 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: AMY HAUG 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: BEACHSIDE HOLDINGS CORPORATION 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: BEACHSIDE HOLDINGS CORPORATION no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COLE MARKETING COMMUNICATIONS INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MOORE OPERATING GROUP INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MOORE OPERATING GROUP INC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ERIC MCINTOSH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ERIC MCINTOSH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANKURA CONSULTING GROUP 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: THOMAS MCCLELLAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AMY HAUG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AMY HAUG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BEACHSIDE HOLDINGS CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BEACHSIDE HOLDINGS CORPORATION appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2026: KENT N RODGERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CARDON OPERATING GROUP INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: WENDY BROUGHTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATHY L HEADLEY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: DAVID C MOORE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: DANIEL W MOORE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MOORE OPERATING GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MED-PASS INCORPORATED appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: STEPHEN G MOORE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: STEPHEN G MOORE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MARK EMERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: RESTUP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: FRANK S HOPKINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: FRANK S HOPKINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LYNN LOPOSSA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LYNN LOPOSSA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BRADLEY & ASSOCIATES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: JEFFREY L MORER OD PC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KENDRA FAUTH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KENDRA FAUTH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: FORVIS MAZARS LLP appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LEAANN RENEE SPENCER appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: THIRD EYE HEALTH INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MELISSA JOFFEE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MELISSA JOFFEE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATHY L HEADLEY appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATHY L HEADLEY appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATHY L HEADLEY appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LIFESPAN THERAPY LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: JUDY HAMBLEN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: JUDY HAMBLEN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: JASPER ASSISTED LIVING, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: VOHRA WOUND PHYSICIANS OF THE WEST PC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: RESPIRATORY PARTNERS INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LACY BEYL & COMPANY INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MATTHEW D BALLA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MATTHEW D BALLA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: EVAN B HURST appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: EVAN B HURST appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: GREGG GORMAL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: GREGG GORMAL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CARDON AND ASSOCIATES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BRITT GRANNAN appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: DAVID C MOORE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: DAVID C MOORE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MOBILE AUDIOLOGY ASSOCIATES PC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MOSER CONSULTING INCORPORATED appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: DANIEL W MOORE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: DANIEL W MOORE appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: VOX GLOBAL LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: HEALTHDRIVE PODIATRY GROUP PA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ZACHARY CATTELL appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ZACHARY CATTELL appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: COLE MARKETING COMMUNICATIONS INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MOORE OPERATING GROUP INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MOORE OPERATING GROUP INC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ERIC MCINTOSH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ERIC MCINTOSH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: ANKURA CONSULTING GROUP LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: THOMAS MCCLELLAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: AMY HAUG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: AMY HAUG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BEACHSIDE HOLDINGS CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BEACHSIDE HOLDINGS CORPORATION appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
Recent changes on this record
- 1 July 2026: COLE MARKETING COMMUNICATIONS INC 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: MOORE OPERATING GROUP INC 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: MOORE OPERATING GROUP INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ERIC MCINTOSH 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: ERIC MCINTOSH 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: ANKURA CONSULTING GROUP 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: THOMAS MCCLELLAND 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: AMY HAUG 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: AMY HAUG 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: BEACHSIDE HOLDINGS CORPORATION 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: BEACHSIDE HOLDINGS CORPORATION no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: COLE MARKETING COMMUNICATIONS INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MOORE OPERATING GROUP INC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: MOORE OPERATING GROUP INC appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ERIC MCINTOSH appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ERIC MCINTOSH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: ANKURA CONSULTING GROUP 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: THOMAS MCCLELLAND appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AMY HAUG appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: AMY HAUG appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BEACHSIDE HOLDINGS CORPORATION appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 July 2026: BEACHSIDE HOLDINGS CORPORATION appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 May 2026: KENT N RODGERS no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: CARDON OPERATING GROUP INC no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: WENDY BROUGHTON no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: KATHY L HEADLEY no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: DAVID C MOORE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: DANIEL W MOORE no longer appears as OTHER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MOORE OPERATING GROUP INC no longer appears as 5% OR GREATER INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MED-PASS INCORPORATED appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: STEPHEN G MOORE appears as INDIRECT OWNERSHIP INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: STEPHEN G MOORE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: MARK EMERSON appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: RESTUP, LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: FRANK S HOPKINS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: FRANK S HOPKINS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LYNN LOPOSSA appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: LYNN LOPOSSA appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: BRADLEY & ASSOCIATES INC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
- 1 May 2026: JEFFREY L MORER OD PC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-05-01.csv
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 12 May 2026 | 12 May 2026 | 4 | 0 |
| 2 | 19 March 2025 | 19 March 2025 | 0 | 0 |
| 3 | 26 February 2024 | 26 February 2024 | 2 | 3 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
6 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 12 May 2026 | Health | F 0550 | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | No | Deficient, Provider has date of correction | 31 May 2026 |
| 12 May 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 | 31 May 2026 |
| 12 May 2026 | Health | F 0658 | Resident Assessment and Care Planning Deficiencies | Ensure services provided by the nursing facility meet professional standards of quality. | D | No | Deficient, Provider has date of correction | 31 May 2026 |
| 12 May 2026 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | No | Deficient, Provider has date of correction | 31 May 2026 |
| 26 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. | E | No | Deficient, Provider has date of correction | 11 March 2024 |
| 10 October 2023 | Health | F 0880 | Infection Control Deficiencies | Provide and implement an infection prevention and control program. | D | Yes | Deficient, Provider has date of correction | 30 October 2023 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | For profit - Corporation |
| Legal Business Name | BROOKSIDE VILLAGE, INC |
| Date First Approved to Provide Medicare and Medicaid Services | 2002-07-25 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | N |
| Urban | N |
| County/Parish | Dubois |
| Telephone Number | 8126347750 |
| 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 | 27 |
| Average Number of Residents per Day | 23.0 |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| QM Rating | 5 |
| Long-Stay QM Rating | 5 |
| Short-Stay QM Rating | 4 |
| Processing Date | 2026-08-01 |
From the Care Compare Provider Information file NH_ProviderInfo_Aug2026.csv, processed on 1 August 2026.
Get an email when this record changes
One email a day naming what moved on BROOKSIDE VILLAGE INC: the field, the value before, the value after, and the date of the file that first showed it.
The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.
On 1 July 2026: COLE MARKETING COMMUNICATIONS INC no longer appears as ADP OF THE SNF in the Medicare enrollment ownership file. That is one line of the alert.
What the alerts are, and what a day of them looks like, is on the alerts page.
Following a list of facilities? The portfolio watch follows up to 100 certification numbers you name, on one subscription — on the alerts page.
The citable document for BROOKSIDE VILLAGE INC
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Indiana at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 155703.