Velarion Records

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Skilled nursing facility · CMS certification number 155720

CATHEDRAL HEALTH CARE CENTER

JASPER, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 65

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for 1 January 2024 to 31 December 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 28 August 2025.

Revenue and expenses, fiscal year 2024
FigureAs filedWhere it comes from
Total patient revenue$9,746,535CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,870,434CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$7,876,101CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$6,100,834CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$1,775,267CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$34,023CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,809,290CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,809,290 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components23,790CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days185CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days21,458CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days449CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components22,092CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges1CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges20CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges2CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components23CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days185CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,072.9CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days960.52CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433660, 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 11 April 2025.

Revenue and expenses, fiscal year 2023
FigureAs filedWhere it comes from
Total patient revenue$7,278,294CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$1,564,013CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,714,281CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,852,305CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$138,024CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$428,723CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$290,699CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $290,699 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,160CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components59CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days119.33CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days341.73CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days307.8CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1420148, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended 31 December 2022

Cost report for 1 January 2022 to 31 December 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 August 2023.

Revenue and expenses, fiscal year 2022
FigureAs filedWhere it comes from
Total patient revenue$6,261,808CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$319,431CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$6,581,239CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$5,873,992CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$707,247CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$261,021CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$968,268CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $968,268 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2022
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components16,476CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components88CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days120.18CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days208.8CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days187.23CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1362656, 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 20 September 2022.

Revenue and expenses, fiscal year 2021
FigureAs filedWhere it comes from
Total patient revenue$6,181,414CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$959,363CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,222,051CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,893,264CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$328,787CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,210CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$330,997CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $330,997 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2021
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,112CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components114CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days60.23CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days168.06CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days123.79CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332985, 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 1 December 2021.

Revenue and expenses, fiscal year 2020
FigureAs filedWhere it comes from
Total patient revenue$5,260,653CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$213,890CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,474,543CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,749,714CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$724,829CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$444,083CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$1,168,912CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,168,912 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2020
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components14,984CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components71CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days58.15CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days211.04CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1305777, 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 30 April 2021.

Revenue and expenses, fiscal year 2019
FigureAs filedWhere it comes from
Total patient revenue$5,234,981CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$75,904CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$5,310,885CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,475,340CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$835,545CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$8,034CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$843,579CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $843,579 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2019
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,776CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components25CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days72.47CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days711.04CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1283148, 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 19 August 2019.

Revenue and expenses, fiscal year 2018
FigureAs filedWhere it comes from
Total patient revenue$4,679,847CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$86,497CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,593,350CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,369,014CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$224,336CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$7,333CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$231,669CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $231,669 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2018
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components17,274CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components82CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days59.86CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days210.66CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241212, read from the public cost report file SNF10FY2018.zip.

Fiscal year 2017, ended 31 December 2017

Cost report for 1 January 2017 to 31 December 2017 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 22 August 2018.

Revenue and expenses, fiscal year 2017
FigureAs filedWhere it comes from
Total patient revenue$4,763,044CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$147,478CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$4,615,566CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$4,156,682CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$458,884CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$3,195CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$462,079CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $462,079 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2017
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,137CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components29CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days74.58CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days1,200.23CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days625.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1209998, 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 9 August 2017.

Revenue and expenses, fiscal year 2016
FigureAs filedWhere it comes from
Total patient revenue$3,936,856CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$237,100CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,699,756CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,975,000CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$275,244CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,973CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$272,271CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$272,208 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2016
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components15,586CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components34CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days93.8CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days458.41CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1172545, 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.

Revenue and expenses, fiscal year 2015
FigureAs filedWhere it comes from
Total patient revenue$3,358,483CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$343,729CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,702,212CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,269,290CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$432,922CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$2,693CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$435,615CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $435,572 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2015
FigureAs filedWhere it comes from
Total facility beds, all components65CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components12,463CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components23CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days44.62CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days541.87CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1139735, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 November 2014 to 31 December 2014 — a reporting period of 60 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 30 July 2015.

Revenue and expenses, fiscal year 2014
FigureAs filedWhere it comes from
Total patient revenue$557,473CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts$2,567CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$554,906CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$522,253CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$32,653CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$183CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$32,836CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $32,836 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2014
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components2,048CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components8CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days63CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days256CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1106198, read from the public cost report file SNF10FY2015.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 29 May 2014.

Revenue and expenses, fiscal year 2013
FigureAs filedWhere it comes from
Total patient revenue$3,320,438CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$177,302CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,497,740CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,604,741CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$107,001CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$138,210CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$31,209CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $31,209 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2013
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components18,307CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components54CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days35.32CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days339.02CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1061130, 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 12 August 2013.

Revenue and expenses, fiscal year 2012
FigureAs filedWhere it comes from
Total patient revenue$3,516,754CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts−$235,855CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue$3,752,609CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,685,264CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients$67,345CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$47,741CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income$115,086CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $115,086 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2012
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,294CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components36CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days106.4CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days563.72CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1046083, 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 26 October 2012.

Revenue and expenses, fiscal year 2011
FigureAs filedWhere it comes from
Total patient revenue$3,182,913CMS-2540-10 worksheet G300000 line 100 column 100
Net patient revenue$3,182,913CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses$3,480,307CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients−$297,394CMS-2540-10 worksheet G300000 line 500 column 100
Total other income$25,309CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income−$272,085CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$599,284 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2011
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components20,187CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components41CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days41CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days492.37CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1017244, read from the public cost report file SNF10FY2011.zip.

Fiscal year 2010, ended 31 December 2010

Cost report for 1 January 2010 to 31 December 2010 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 8 December 2011.

Revenue and expenses, fiscal year 2010
FigureAs filedWhere it comes from
Net patient revenue$3,472,629CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,483,444CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$10,815CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$80,629CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $69,814 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2010
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,261CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components24CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days151CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days844.21CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 421312, 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 13 June 2011.

Revenue and expenses, fiscal year 2009
FigureAs filedWhere it comes from
Net patient revenue$3,359,131CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,289,154CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients$69,977CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$37,644CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $107,621 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2009
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components20,917CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components23CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days77CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days909.43CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 403487, 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 10 March 2010.

Revenue and expenses, fiscal year 2008
FigureAs filedWhere it comes from
Net patient revenue$3,189,070CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses$3,272,407CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients−$83,337CMS-2540-96 worksheet G300000 line 500 column 100
Total other income$107,011CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: $23,674 (CMS-2540-96 worksheet G300000 line 3200 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 5 plus 26 less 31) on 192,460 of the 192,462 reports filed on Form CMS-2540-96 in publication years 1995-2012 that file every line it is computed from (99.99%); on 2 of them the filed figure and that arithmetic differ, by a median of $46,907, and those figures are not shown. A further 2,252 reports file net income without filing net income from service to patients (Worksheet G-3 line 5), so the arithmetic cannot be applied to them and their figure is shown as filed.

Beds, days and discharges, fiscal year 2008
FigureAs filedWhere it comes from
Total facility beds, all components60CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components21,205CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components50CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days50.43CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days424.1CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 365232, 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 January 2009.

None of these figures is carried on this report.

CMS report record 332060, 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 28 May 2008.

None of these figures is carried on this report.

CMS report record 309993, 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 277418, 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 11 April 2006.

None of these figures is carried on this report.

CMS report record 246753, read from the public cost report file SNFFY2004.zip.

Fiscal year 2003, ended 31 December 2003

Cost report for 5 March 2003 to 31 December 2003 — a reporting period of 301 days, on form CMS-2540-96, settled, processed by CMS on 21 October 2004.

None of these figures is carried on this report.

CMS report record 197733, read from the public cost report file SNFFY2003.zip.

Nurse staffing

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

The staffing record →

Ownership, as filed with CMS

Care Compare

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

Owner or managerRoleTypeOwnership percentageAssociation
CIBC BANK USA5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 11/01/2020
LME FAMILY HOLDINGS LLC5% OR GREATER MORTGAGE INTERESTOrganizationNOT APPLICABLEsince 11/01/2020
ADVANCED CARE CONSULTANTS LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
BETZ, ALLIADP OF THE SNFIndividualNOT APPLICABLEsince 02/01/2021
BLUE MANAGEMENT SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2024
BURLA, KIRANADP OF THE SNFIndividualNOT APPLICABLEsince 06/10/2021
CATHEDRAL NURSING AND REHAB LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
CLINICAL CONSULTING SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
FIRST BANK OF BERNEADP OF THE SNFOrganizationNOT APPLICABLEsince 01/01/2020
SUMMATION FINANCIAL SERVICES LLCADP OF THE SNFOrganizationNOT APPLICABLEsince 11/01/2020
SMITH, SCOTTCORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2020
SPRUNGER, KYLECORPORATE OFFICERIndividualNOT APPLICABLEsince 01/01/2018
WHEELER, DANECORPORATE OFFICERIndividualNOT APPLICABLEsince 11/01/2014
520 JASPER PROPCO LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 11/01/2020
GREATOREX, TINADIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 11/01/2020
JSJ HOLDINGS LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 11/01/2020
SAMARA FAMILY HOLDINGS LLCDIRECT OWNERSHIP INTERESTOrganizationNOT APPLICABLEsince 11/01/2020
SCHIOWITZ, MARCDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 11/01/2020
SEBBAG, GABRIELDIRECT OWNERSHIP INTERESTIndividualNOT APPLICABLEsince 11/01/2020
ADAMS COUNTY MEMORIAL HOSPITALOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 11/01/2014
BETZ, ALLIOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 02/01/2021
BORNE-BAUMAN, CANDICEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2019
BURLA, KIRANOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 06/10/2021
CATHEDRAL NURSING AND REHAB LLCOPERATIONAL/MANAGERIAL CONTROLOrganizationNOT APPLICABLEsince 11/01/2020
FLUECKIGER, RUSSELLOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2014
LEHMAN, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 07/14/2020
MACKLIN, LARRYOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2014
MCINTIRE, DAVIDOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2019
SMITH, SCOTTOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2020
SPRUNGER, KYLEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 01/01/2018
WHEELER, DANEOPERATIONAL/MANAGERIAL CONTROLIndividualNOT APPLICABLEsince 11/01/2014
MACKLIN, LARRYTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 11/01/2014
MCINTIRE, DAVIDTRUSTEE OF THE SNFIndividualNOT APPLICABLEsince 01/01/2019

Medicare enrollment

As filed in the CMS file dated 1 August 2026 (Medicare enrollment ownership), under the enrollment of ADAMS COUNTY MEMORIAL HOSPITAL (enrollment ID O20141202000712).

OwnerIndividual or organizationRoleOwnership percentageAssociation dateDescribed in the filing as
ADAMS COUNTY MEMORIAL HOSPITALOrganization5% OR GREATER DIRECT OWNERSHIP INTEREST10011/1/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
CIBC BANK USAOrganization5% OR GREATER MORTGAGE INTEREST10011/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
LME FAMILY HOLDINGS LLCOrganization5% OR GREATER MORTGAGE INTEREST33.3311/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
ADVANCED CARE CONSULTANTS LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
ALLI BETZIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
BLUE MANAGEMENT SERVICES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2024
Private equity company: No
Real estate investment trust: No
Holding company: No
CATHEDRAL NURSING AND REHAB LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
CLINICAL CONSULTING SERVICES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
FIRST BANK OF BERNEOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
KIRAN K BURLAIndividualADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/10/2021
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.
SUMMATION FINANCIAL SERVICES LLCOrganizationADP OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
DANE WHEELERIndividualCORPORATE OFFICER10011/1/2014
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.
KYLE SPRUNGERIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SCOTT T SMITHIndividualCORPORATE OFFICERCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
520 JASPER PROPCO LLCOrganizationDIRECT OWNERSHIP INTEREST10011/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
GABRIEL J SEBBAGIndividualDIRECT OWNERSHIP INTEREST10011/1/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
JSJ HOLDINGS LLCOrganizationDIRECT OWNERSHIP INTEREST33.3311/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
MARC SCHIOWITZIndividualDIRECT OWNERSHIP INTEREST10011/1/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SAMARA FAMILY HOLDINGS LLCOrganizationDIRECT OWNERSHIP INTEREST33.3311/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
TINA GREATOREXIndividualDIRECT OWNERSHIP INTEREST10011/1/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.OrganizationDIRECT OWNERSHIP INTEREST33.3311/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
ADAMS COUNTY MEMORIAL HOSPITALOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2014
Private equity company: No
Real estate investment trust: No
Holding company: No
ALLI BETZIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.2/1/2021
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CANDICE BORNE-BAUMANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
CATHEDRAL NURSING AND REHAB LLCOrganizationOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2020
Private equity company: No
Real estate investment trust: No
Holding company: No
DANE WHEELERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2014
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID MCINTIREIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KIRAN K BURLAIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.6/10/2021
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.
KYLE SPRUNGERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2018
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LARRY MACKLINIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2014
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RUSSELL W FLUECKIGERIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2014
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SCOTT E LEHMANIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.7/14/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SCOTT T SMITHIndividualOPERATIONAL/MANAGERIAL CONTROLCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2020
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
DAVID MCINTIREIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.1/1/2019
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
LARRY MACKLINIndividualTRUSTEE OF THE SNFCMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.11/1/2014
Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.

Changes in ownership

Recent changes on this record

Inspections

Inspection cycleHealth inspectionFire safety inspectionHealth deficienciesFire safety deficiencies
124 July 202524 July 202511
213 September 202413 September 202486
311 September 202311 September 2023820

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

Deficiencies cited

17 deficiencies on file, newest inspection first
Inspection dateInspection typeTagCategoryWhat was citedScope and severityComplaintCorrectedCorrection date
24 July 2025HealthF 0656Resident Assessment and Care Planning DeficienciesDevelop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DNoDeficient, Provider has date of correction15 August 2025
13 September 2024HealthF 0580Resident Rights DeficienciesImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DNoDeficient, Provider has date of correction12 October 2024
13 September 2024HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction12 October 2024
13 September 2024HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction12 October 2024
13 September 2024HealthF 0689Quality of Life and Care DeficienciesEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DNoDeficient, Provider has date of correction12 October 2024
13 September 2024HealthF 0758Pharmacy Service DeficienciesImplement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DNoDeficient, Provider has date of correction12 October 2024
13 September 2024HealthF 0760Pharmacy Service DeficienciesEnsure that residents are free from significant medication errors.DNoDeficient, Provider has date of correction12 October 2024
13 September 2024HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.ENoDeficient, Provider has date of correction12 October 2024
23 August 2024HealthF 0691Quality of Life and Care DeficienciesProvide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.DYesDeficient, Provider has date of correction7 September 2024
9 January 2024HealthF 0609Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DYesDeficient, Provider has date of correction2 February 2024
11 September 2023HealthF 0576Resident Rights DeficienciesEnsure residents have reasonable access to and privacy in their use of communication methods.DNoDeficient, Provider has date of correction6 October 2023
11 September 2023HealthF 0641Resident Assessment and Care Planning DeficienciesEnsure each resident receives an accurate assessment.DNoDeficient, Provider has date of correction6 October 2023
11 September 2023HealthF 0684Quality of Life and Care DeficienciesProvide appropriate treatment and care according to orders, resident’s preferences and goals.DNoDeficient, Provider has date of correction6 October 2023
11 September 2023HealthF 0690Quality of Life and Care DeficienciesProvide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DNoDeficient, Provider has date of correction6 October 2023
11 September 2023HealthF 0761Pharmacy Service DeficienciesEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.DNoDeficient, Provider has date of correction6 October 2023
11 September 2023HealthF 0812Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.ENoDeficient, Provider has date of correction6 October 2023
11 September 2023HealthF 0880Infection Control DeficienciesProvide and implement an infection prevention and control program.DNoDeficient, Provider has date of correction6 October 2023

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

Penalties

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Care Compare provider information

FieldAs filed
Provider TypeMedicare and Medicaid
Ownership TypeFor profit - Corporation
Legal Business NameADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services2003-03-05
Provider Resides in HospitalN
Continuing Care Retirement CommunityN
UrbanN
County/ParishDubois
Telephone Number8124826603
Chain NameIDE MANAGEMENT GROUP
Chain ID278
Provider Changed Ownership in Last 12 MonthsN
With a Resident and Family CouncilResident
Automatic Sprinkler Systems in All Required AreasYes
Number of Certified Beds65
Average Number of Residents per Day63.8
Overall Rating4
Health Inspection Rating4
QM Rating3
Long-Stay QM Rating3
Processing Date2026-08-01

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

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The citable document for CATHEDRAL HEALTH CARE CENTER

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