Skilled nursing facility · CMS certification number 155726
RIVER TERRACE HEALTH CARE CENTER
BLUFFTON, Indiana · Medicare and Medicaid
Certified beds, as filed in Care Compare: 67
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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $7,219,731 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $854,577 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $6,365,154 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,186,846 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $178,308 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $21,420 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $199,728 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $199,728 (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 | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Bed days available, all components | 54,168 | CMS-2540-10 worksheet S300001 line 800 column 200 |
| Medicare (Title XVIII) patient days | 469 | CMS-2540-10 worksheet S300001 line 800 column 400 |
| Medicaid (Title XIX) patient days | 6,735 | CMS-2540-10 worksheet S300001 line 800 column 500 |
| Other-payer patient days | 25,582 | CMS-2540-10 worksheet S300001 line 800 column 600 |
| Total patient days, all components | 32,786 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Medicare discharges | 15 | CMS-2540-10 worksheet S300001 line 800 column 900 |
| Medicaid discharges | 17 | CMS-2540-10 worksheet S300001 line 800 column 1000 |
| Other-payer discharges | 124 | CMS-2540-10 worksheet S300001 line 800 column 1100 |
| Total discharges, all components | 156 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 31.27 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 396.18 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 210.17 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1433663, 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 | $6,491,043 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $524,923 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,966,120 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,182,622 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$216,502 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $500,796 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $284,294 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $284,294 (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 | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,970 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 123 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 44.08 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 239.26 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 276.18 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1395502, 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 17 August 2023.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,723,376 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $323,675 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,399,701 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,250,535 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$850,834 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $102,107 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$748,727 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$748,727 (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 | 148 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 32,805 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 136 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 40.06 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 602.25 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 241.21 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1362394, read from the public cost report file SNF10FY2022.zip.
Fiscal year 2021, ended 31 December 2021
Cost report for 1 January 2021 to 31 December 2021 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 21 September 2022.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,915,420 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $449,335 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,466,085 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,422,157 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $1,043,928 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $6,933 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $1,050,861 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $1,050,861 (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 | 139 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 33,958 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 151 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 86.67 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 298.07 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 224.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1333318, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,356,997 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $112,230 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,244,767 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,076,634 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $168,133 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $455,449 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $623,582 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $623,582 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 24,755 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 44 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.2 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 562.61 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1305778, 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 4 December 2020.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,821,070 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $243,606 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,577,464 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,350,839 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $226,625 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $23,064 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $249,689 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $249,689 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,194 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 65 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.46 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 418.37 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1274990, read from the public cost report file SNF10FY2019.zip.
Fiscal year 2018, ended 31 December 2018
Cost report for 1 January 2018 to 31 December 2018 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 24 July 2019.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,038,993 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $367,759 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,671,234 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,514,821 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $156,413 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $68,296 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $224,709 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $224,709 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,219 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 79 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 58.75 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 357.2 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1238048, 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 25 July 2018.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,968,066 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $365,739 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,602,327 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,317,250 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $285,077 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $61,572 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $346,649 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $346,649 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,199 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 56 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 27.43 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 539.27 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1202628, 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 26 July 2017.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,087,494 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $306,821 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,780,673 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,445,201 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $335,472 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $62,821 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $398,293 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $398,293 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 30,344 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 78 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 42.88 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 389.03 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1170823, read from the public cost report file SNF10FY2016.zip.
Fiscal year 2015, ended 31 December 2015
Cost report for 1 February 2015 to 31 December 2015 — a reporting period of 333 days, on form CMS-2540-10, settled, processed by CMS on 4 August 2016.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,786,683 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $239,613 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,547,070 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,708,542 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | $838,528 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $75,841 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $914,369 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: $914,369 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 26,693 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 103 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 41.48 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, all patients, in days | 259.16 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1139737, 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 24 July 2015.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,907,378 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $464,279 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,443,099 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,942,402 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$499,303 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $555,991 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | $56,688 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$944,880 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,687 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 86 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 57.36 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 533.8 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 321.94 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1101691, 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 1 August 2014.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $6,269,814 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $658,961 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,610,853 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,700,513 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,089,660 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $341,055 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$748,605 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$748,605 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,487 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 106 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 55.92 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,994 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 259.31 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1074693, 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 | $5,490,372 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $366,251 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $5,124,121 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,510,427 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,386,306 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $705,726 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$680,580 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$680,580 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 27,587 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 120 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 32.64 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 2,667 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 229.89 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1040945, 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.
| Figure | As filed | Where it comes from |
|---|---|---|
| Total patient revenue | $5,156,554 | CMS-2540-10 worksheet G300000 line 100 column 100 |
| Contractual allowances and discounts | $242,713 | CMS-2540-10 worksheet G300000 line 200 column 100 |
| Net patient revenue | $4,913,841 | CMS-2540-10 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,396,155 | CMS-2540-10 worksheet G300000 line 400 column 100 |
| Net income from service to patients | −$1,482,314 | CMS-2540-10 worksheet G300000 line 500 column 100 |
| Total other income | $618,556 | CMS-2540-10 worksheet G300000 line 2500 column 100 |
| Net income after other income | −$863,758 | CMS-2540-10 worksheet G300000 line 2600 column 100 |
Net income: −$863,758 (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 | 94 | CMS-2540-10 worksheet S300001 line 800 column 100 |
| Total patient days, all components | 28,292 | CMS-2540-10 worksheet S300001 line 800 column 700 |
| Total discharges, all components | 104 | CMS-2540-10 worksheet S300001 line 800 column 1200 |
| Average length of stay, Medicare, in days | 25.8 | CMS-2540-10 worksheet S300001 line 800 column 1400 |
| Average length of stay, Medicaid, in days | 791 | CMS-2540-10 worksheet S300001 line 800 column 1500 |
| Average length of stay, all patients, in days | 272.04 | CMS-2540-10 worksheet S300001 line 800 column 1600 |
CMS report record 1016994, 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 November 2011.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $5,266,626 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,160,156 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$893,530 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $143,512 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $4,874 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$754,892 (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 | 94 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,211 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 141 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 35.05 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 207.17 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 420050, 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 12 August 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,892,134 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,194,930 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,302,796 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $271,755 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $13,126 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,044,167 (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 | 94 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 28,790 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 155 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 26.75 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 185.74 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 385414, 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 3 March 2010.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $4,732,394 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $6,110,176 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$1,377,782 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $158,274 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $71,961 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,291,469 (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 | 94 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 29,112 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 131 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 33.55 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, all patients, in days | 222.23 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 364829, 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 30 July 2008.
None of these figures is carried on this report.
CMS report record 322065, 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 24 April 2008.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $3,323,057 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $5,474,827 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,151,770 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $249,199 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
| Total other expenses | $6,073 | CMS-2540-96 worksheet G300000 line 3100 column 100 |
Net income, stated at moderate confidence: −$1,908,644 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,020 | 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 | 29.09 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 810 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 100.2 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 307428, read from the public cost report file SNFFY2006.zip.
Fiscal year 2005, ended 31 December 2005
Cost report for 1 January 2005 to 31 December 2005 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 15 March 2007.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $2,766,505 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $4,964,286 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,197,781 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $309,488 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$1,888,293 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 10,173 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 52 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 32.44 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 1,469.5 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 195.63 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 274899, read from the public cost report file SNFFY2005.zip.
Fiscal year 2004, ended 31 December 2004
Cost report for 6 February 2004 to 31 December 2004 — a reporting period of 329 days, on form CMS-2540-96, settled, processed by CMS on 26 January 2006.
| Figure | As filed | Where it comes from |
|---|---|---|
| Net patient revenue | $1,432,837 | CMS-2540-96 worksheet G300000 line 300 column 100 |
| Total operating expenses | $3,996,890 | CMS-2540-96 worksheet G200002 line 1500 column 200 |
| Net income from service to patients | −$2,564,053 | CMS-2540-96 worksheet G300000 line 500 column 100 |
| Total other income | $554,397 | CMS-2540-96 worksheet G300000 line 2600 column 100 |
Net income, stated at moderate confidence: −$2,009,656 (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 | 30 | CMS-2540-96 worksheet S300001 line 900 column 100 |
| Total patient days, all components | 5,925 | CMS-2540-96 worksheet S300001 line 900 column 700 |
| Total discharges, all components | 40 | CMS-2540-96 worksheet S300001 line 900 column 1200 |
| Average length of stay, Medicare, in days | 49.13 | CMS-2540-96 worksheet S300001 line 900 column 1400 |
| Average length of stay, Medicaid, in days | 504 | CMS-2540-96 worksheet S300001 line 900 column 1500 |
| Average length of stay, all patients, in days | 148.13 | CMS-2540-96 worksheet S300001 line 900 column 1600 |
CMS report record 241316, read from the public cost report file SNFFY2004.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 |
|---|---|---|---|---|
| CIBC BANK USA | 5% OR GREATER MORTGAGE INTEREST | Organization | NOT APPLICABLE | since 11/01/2020 |
| 400 CAYLOR PROPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| ADVANCED CARE CONSULTANTS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 09/01/2022 |
| BLUE MANAGEMENT SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2024 |
| CLINICAL CONSULTING SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| FIRST BANK OF BERNE | ADP OF THE SNF | Organization | NOT APPLICABLE | since 01/01/2020 |
| JSJ HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/23/2025 |
| LME FAMILY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| MIDWEST IN OPCO LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/23/2025 |
| RIVER TERRACE RE NURSING AND REHABILITATION LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| SAMARA FAMILY HOLDINGS LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 12/23/2025 |
| SUMMATION FINANCIAL SERVICES LLC | ADP OF THE SNF | Organization | NOT APPLICABLE | since 11/01/2020 |
| WILLIAMS, LLOYD | ADP OF THE SNF | Individual | NOT APPLICABLE | since 11/01/2020 |
| ZEHR, MALLORY | ADP OF THE SNF | Individual | NOT APPLICABLE | since 08/16/2024 |
| SMITH, SCOTT | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2020 |
| SPRUNGER, KYLE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 01/01/2018 |
| WHEELER, DANE | CORPORATE OFFICER | Individual | NOT APPLICABLE | since 02/01/2015 |
| GREATOREX, TINA | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/24/2025 |
| SCHIOWITZ, MARC | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/24/2025 |
| SEBBAG, GABRIEL | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | Individual | NOT APPLICABLE | since 12/24/2025 |
| BORNE-BAUMAN, CANDICE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| FLUECKIGER, RUSSELL | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2015 |
| LEHMAN, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 07/14/2020 |
| MACKLIN, LARRY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2015 |
| MCINTIRE, DAVID | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2019 |
| RIVER TERRACE RE NURSING AND REHABILITATION LLC | OPERATIONAL/MANAGERIAL CONTROL | Organization | NOT APPLICABLE | since 11/01/2020 |
| SMITH, SCOTT | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2020 |
| SPRUNGER, KYLE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 01/01/2018 |
| WHEELER, DANE | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 02/01/2015 |
| WILLIAMS, LLOYD | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 11/01/2020 |
| ZEHR, MALLORY | OPERATIONAL/MANAGERIAL CONTROL | Individual | NOT APPLICABLE | since 08/16/2024 |
| BORNE-BAUMAN, CANDICE | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 01/01/2019 |
| FLUECKIGER, RUSSELL | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2015 |
| LEHMAN, SCOTT | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 07/14/2020 |
| MACKLIN, LARRY | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 02/01/2025 |
| MCINTIRE, DAVID | TRUSTEE OF THE SNF | Individual | NOT APPLICABLE | since 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 O20150313000725).
| Owner | Individual or organization | Role | Ownership percentage | Association date | Described in the filing as |
|---|---|---|---|---|---|
| ADAMS COUNTY MEMORIAL HOSPITAL | Organization | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100 | 2/1/2014 | Private equity company: No Real estate investment trust: No Holding company: No |
| CIBC BANK USA | Organization | 5% OR GREATER MORTGAGE INTEREST | 100 | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| 400 CAYLOR PROPCO LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| ADVANCED CARE CONSULTANTS LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 9/1/2022 | Private equity company: No Real estate investment trust: No Holding company: No |
| BLUE MANAGEMENT SERVICES 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. | 1/1/2024 | Private equity company: No Real estate investment trust: No Holding company: No |
| CLINICAL CONSULTING SERVICES LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| FIRST BANK OF BERNE | 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. | 1/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| JSJ HOLDINGS 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. | 12/23/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| LLOYD WILLIAMS | 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. | 11/1/2020 | 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. |
| LME FAMILY HOLDINGS LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| MALLORY ZEHR | 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. | 8/16/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| MIDWEST IN OPCO 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. | 12/23/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| RIVER TERRACE RE NURSING AND REHABILITATION LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| SAMARA FAMILY HOLDINGS 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. | 12/23/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| SUMMATION FINANCIAL SERVICES LLC | Organization | ADP OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. | 12/23/2025 | Private equity company: No Real estate investment trust: No Holding company: No |
| DANE WHEELER | Individual | CORPORATE OFFICER | 100 | 2/1/2015 | 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 SPRUNGER | Individual | CORPORATE OFFICER | CMS paused 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 SMITH | Individual | CORPORATE OFFICER | CMS paused 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. |
| CANDICE BORNE-BAUMAN | 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. | 1/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DANE WHEELER | 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. | 2/1/2015 | 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 MCINTIRE | 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. | 1/1/2019 | 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. |
| KYLE SPRUNGER | 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. | 1/1/2018 | 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 MACKLIN | 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. | 2/1/2015 | 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. |
| LLOYD WILLIAMS | 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. | 11/1/2020 | 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. |
| MALLORY ZEHR | 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. | 8/16/2024 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| RIVER TERRACE RE NURSING AND REHABILITATION LLC | Organization | OPERATIONAL/MANAGERIAL CONTROL | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 11/1/2020 | Private equity company: No Real estate investment trust: No Holding company: No |
| RUSSELL W FLUECKIGER | 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. | 2/1/2015 | 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 LEHMAN | 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. | 7/14/2020 | 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 SMITH | 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. | 1/1/2020 | 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. |
| CANDICE BORNE-BAUMAN | Individual | TRUSTEE OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2019 | Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. |
| DAVID MCINTIRE | Individual | TRUSTEE OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 1/1/2019 | 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 MACKLIN | Individual | TRUSTEE OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2025 | 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. |
| RUSSELL W FLUECKIGER | Individual | TRUSTEE OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 2/1/2015 | 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 LEHMAN | Individual | TRUSTEE OF THE SNF | CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. | 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. |
Changes in ownership
- 1 July 2026: ADAMS COUNTY MEMORIAL HOSPITAL 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: FIRST BANK OF BERNE 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: ADAMS COUNTY MEMORIAL HOSPITAL 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: FIRST BANK OF BERNE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 February 2026: SCOTT T SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: KYLE SPRUNGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SAMARA FAMILY HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CLINICAL CONSULTING SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LLOYD WILLIAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LLOYD WILLIAMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CIBC BANK USA appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MALLORY ZEHR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MALLORY ZEHR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SCOTT T SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JSJ HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: KYLE SPRUNGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SUMMATION FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: BLUE MANAGEMENT SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CANDICE BORNE-BAUMAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CANDICE BORNE-BAUMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: ADVANCED CARE CONSULTANTS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MIDWEST IN OPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DAVID MCINTIRE appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DAVID MCINTIRE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RUSSELL W FLUECKIGER appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RUSSELL W FLUECKIGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DANE E WHEELER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: 400 CAYLOR PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LARRY MACKLIN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LARRY MACKLIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LME FAMILY HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RIVER TERRACE RE NURSING AND REHABILITATION LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RIVER TERRACE RE NURSING AND REHABILITATION LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SCOTT E LEHMAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SCOTT E LEHMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: FIRST BANK OF BERNE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 January 2023: JAMES CROSS no longer appears as CONTRACTED MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: JOELLEN E EIDAM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SCOTT T SMITH appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: SCOTT T SMITH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: KYLE SPRUNGER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
- 1 January 2023: KYLE SPRUNGER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-01-01.csv
Recent changes on this record
- 1 July 2026: ADAMS COUNTY MEMORIAL HOSPITAL 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: FIRST BANK OF BERNE 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: ADAMS COUNTY MEMORIAL HOSPITAL 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: FIRST BANK OF BERNE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
- 1 February 2026: SCOTT T SMITH no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: KYLE SPRUNGER no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SAMARA FAMILY HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CLINICAL CONSULTING SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LLOYD WILLIAMS appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LLOYD WILLIAMS appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CIBC BANK USA appears as 5% OR GREATER MORTGAGE INTEREST in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MALLORY ZEHR appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MALLORY ZEHR appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SCOTT T SMITH appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: JSJ HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: A listing under ADP OF THE SNF appears in the Medicare enrollment ownership file, with no owner named. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: KYLE SPRUNGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SUMMATION FINANCIAL SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: BLUE MANAGEMENT SERVICES LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CANDICE BORNE-BAUMAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: CANDICE BORNE-BAUMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: ADVANCED CARE CONSULTANTS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: MIDWEST IN OPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DAVID MCINTIRE appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DAVID MCINTIRE appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RUSSELL W FLUECKIGER appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RUSSELL W FLUECKIGER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: DANE E WHEELER appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: 400 CAYLOR PROPCO LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LARRY MACKLIN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LARRY MACKLIN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: LME FAMILY HOLDINGS LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RIVER TERRACE RE NURSING AND REHABILITATION LLC appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: RIVER TERRACE RE NURSING AND REHABILITATION LLC appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SCOTT E LEHMAN appears as TRUSTEE OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: SCOTT E LEHMAN appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 1 February 2026: FIRST BANK OF BERNE appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
- 28 August 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
- 23 September 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
- 17 August 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
Inspections
| Inspection cycle | Health inspection | Fire safety inspection | Health deficiencies | Fire safety deficiencies |
|---|---|---|---|---|
| 1 | 4 December 2025 | 4 December 2025 | 1 | 20 |
| 2 | 10 January 2025 | 10 January 2025 | 2 | 5 |
| 3 | 20 February 2024 | 20 February 2024 | 1 | 5 |
From the Care Compare inspection summary file NH_SurveySummary_Aug2026.csv, processed on 1 August 2026.
Deficiencies cited
4 deficiencies on file, newest inspection first
| Inspection date | Inspection type | Tag | Category | What was cited | Scope and severity | Complaint | Corrected | Correction date |
|---|---|---|---|---|---|---|---|---|
| 4 December 2025 | Health | F 0628 | Resident Rights Deficiencies | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | D | Yes | Deficient, Provider has date of correction | 16 December 2025 |
| 10 January 2025 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 29 January 2025 |
| 10 January 2025 | Health | F 0842 | Resident Assessment and Care Planning Deficiencies | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | No | Deficient, Provider has date of correction | 29 January 2025 |
| 20 February 2024 | Health | F 0761 | Pharmacy Service Deficiencies | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | No | Deficient, Provider has date of correction | 3 March 2024 |
From the Care Compare health citations file NH_HealthCitations_Aug2026.csv, processed on 1 August 2026.
Penalties
Not yet extracted for this facility.
Care Compare provider information
| Field | As filed |
|---|---|
| Provider Type | Medicare and Medicaid |
| Ownership Type | Government - County |
| Legal Business Name | ADAMS COUNTY MEMORIAL HOSPITAL |
| Date First Approved to Provide Medicare and Medicaid Services | 2004-02-06 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Urban | Y |
| County/Parish | Wells |
| Telephone Number | 2608248940 |
| Chain Name | IDE MANAGEMENT GROUP |
| Chain ID | 278 |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Data Not Available |
| Number of Certified Beds | 67 |
| Average Number of Residents per Day | 41.5 |
| Overall Rating | 5 |
| Health Inspection Rating | 5 |
| QM Rating | 3 |
| Long-Stay QM Rating | 2 |
| 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 RIVER TERRACE HEALTH CARE CENTER: 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: ADAMS COUNTY MEMORIAL HOSPITAL no longer appears as 5% OR GREATER DIRECT OWNERSHIP INTEREST 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 RIVER TERRACE HEALTH CARE CENTER
This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Indiana at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.
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 155726.