Skilled nursing facility · CMS certification number 155733

COLONIAL NURSING HOME

CROWN POINT, Indiana · Medicare and Medicaid

Certified beds, as filed in Care Compare: 55

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
Figure	As filed	Where it comes from
Total patient revenue	$5,882,167	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$1,326,736	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,555,431	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,763,318	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$207,887	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$12,369	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$195,518	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$195,518 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	20,130	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	594	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	8,118	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	3,376	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	12,088	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	11	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	28	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	70	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	109	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	289.93	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	110.9	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1433667, 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.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$5,717,918	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$969,619	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,748,299	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,671,086	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$77,213	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$358,153	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$435,366	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $435,366 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,189	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	116	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	95.25	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	196.2	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	105.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1395503, 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 7 August 2023.

Revenue and expenses, fiscal year 2022
Figure	As filed	Where it comes from
Total patient revenue	$5,593,631	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$591,085	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$5,002,546	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$4,396,534	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$606,012	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$66,428	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$672,440	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $672,440 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	12,305	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	98	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	54.16	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	178.45	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	125.56	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1361205, 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
Figure	As filed	Where it comes from
Total patient revenue	$5,766,408	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$890,975	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,875,433	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,409,459	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$1,465,974	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$22,779	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$1,488,753	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $1,488,753 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,293	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	42	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	72.12	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	771	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	316.5	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1332986, 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 28 October 2021.

Revenue and expenses, fiscal year 2020
Figure	As filed	Where it comes from
Total patient revenue	$4,006,339	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$105,231	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,901,108	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,757,365	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$143,743	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$196,887	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$340,630	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $340,630 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,307	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	40	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	38.41	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	332.68	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1303307, 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 5 August 2021.

Revenue and expenses, fiscal year 2019
Figure	As filed	Where it comes from
Total patient revenue	$4,071,204	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$38,555	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,032,649	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,567,575	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$465,074	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$4,905	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$469,979	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $469,979 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,685	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	60	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60.71	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	228.08	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1291931, 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 16 August 2019.

Revenue and expenses, fiscal year 2018
Figure	As filed	Where it comes from
Total patient revenue	$3,513,850	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$49,884	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,563,734	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,595,514	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$31,780	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$10,307	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$21,473	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$21,473 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,100	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	66	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	70.33	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	198.48	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1241105, 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 21 August 2018.

Revenue and expenses, fiscal year 2017
Figure	As filed	Where it comes from
Total patient revenue	$3,576,381	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$191,247	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,767,628	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,578,307	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$189,321	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$6,611	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$195,932	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $195,932 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	14,958	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	61	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	48.2	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	320.42	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	245.21	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1208523, read from the public cost report file SNF10FY2017.zip.

Fiscal year 2016, ended 31 December 2016

Cost report for 1 January 2016 to 31 December 2016 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2017.

Revenue and expenses, fiscal year 2016
Figure	As filed	Where it comes from
Total patient revenue	$3,243,238	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$554,476	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,797,714	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,466,356	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$331,358	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,596	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$333,954	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $333,954 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,309	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	46.44	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	178.01	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1170630, 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
Figure	As filed	Where it comes from
Total patient revenue	$3,327,744	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$590,669	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,918,413	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,339,624	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$578,789	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$3,144	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$581,933	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $581,933 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,046	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	88	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	64.75	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	170.98	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1139739, read from the public cost report file SNF10FY2015.zip.

Fiscal year 2014, ended 31 December 2014

Cost report for 1 January 2014 to 31 December 2014 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on 25 July 2015.

Revenue and expenses, fiscal year 2014
Figure	As filed	Where it comes from
Total patient revenue	$4,202,475	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$221,139	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$3,981,336	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,383,412	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$597,924	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$8,218	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$606,142	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $606,142 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,864	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	98	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	24.51	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	161.88	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1105383, 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 30 July 2014.

Revenue and expenses, fiscal year 2013
Figure	As filed	Where it comes from
Total patient revenue	$4,804,742	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$528,765	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$4,275,977	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$3,564,253	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$711,724	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$17,886	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$729,610	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $729,610 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	15,009	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	102	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.4	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	147.15	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1074155, read from the public cost report file SNF10FY2013.zip.

Fiscal year 2012, ended 31 December 2012

Cost report for 1 June 2012 to 31 December 2012 — a reporting period of 213 days, not a full year, on form CMS-2540-10, settled, processed by CMS on 5 August 2013.

Revenue and expenses, fiscal year 2012
Figure	As filed	Where it comes from
Total patient revenue	$3,025,364	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$421,067	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,604,297	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,002,194	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	$602,103	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,131	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$603,234	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $603,234 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	9,358	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	69	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	62.76	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	135.62	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1045508, 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
Figure	As filed	Where it comes from
Total patient revenue	$2,639,381	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$211,576	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$2,427,805	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$2,764,111	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$336,306	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$7,789	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$328,517	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$328,517 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	13,633	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	97	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	45.55	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, all patients, in days	140.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1017000, 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 31 May 2012.

Revenue and expenses, fiscal year 2010
Figure	As filed	Where it comes from
Net patient revenue	$2,544,612	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,669,747	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	−$125,135	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$97,159	CMS-2540-96 worksheet G300000 line 2600 column 100

Net income, stated at moderate confidence: −$27,976 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,081	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	128	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	51.31	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	117.82	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 429795, 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 23 June 2011.

Revenue and expenses, fiscal year 2009
Figure	As filed	Where it comes from
Net patient revenue	$2,745,479	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,588,053	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$157,426	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$5,482	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$31,174	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $131,734 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	15,295	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	112	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.57	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	136.56	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 407574, 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 17 June 2010.

Revenue and expenses, fiscal year 2008
Figure	As filed	Where it comes from
Net patient revenue	$2,697,902	CMS-2540-96 worksheet G300000 line 300 column 100
Total operating expenses	$2,511,668	CMS-2540-96 worksheet G200002 line 1500 column 200
Net income from service to patients	$186,234	CMS-2540-96 worksheet G300000 line 500 column 100
Total other income	$6,554	CMS-2540-96 worksheet G300000 line 2600 column 100
Total other expenses	$102,115	CMS-2540-96 worksheet G300000 line 3100 column 100

Net income, stated at moderate confidence: $90,673 (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
Figure	As filed	Where it comes from
Total facility beds, all components	55	CMS-2540-96 worksheet S300001 line 900 column 100
Total patient days, all components	14,556	CMS-2540-96 worksheet S300001 line 900 column 700
Total discharges, all components	96	CMS-2540-96 worksheet S300001 line 900 column 1200
Average length of stay, Medicare, in days	42.57	CMS-2540-96 worksheet S300001 line 900 column 1400
Average length of stay, all patients, in days	151.63	CMS-2540-96 worksheet S300001 line 900 column 1600

CMS report record 375664, 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 25 March 2009.

None of these figures is carried on this report.

CMS report record 335875, read from the public cost report file SNFFY2007.zip.

Fiscal year 2006, ended 31 December 2006

Cost report for 1 January 2006 to 31 December 2006 — a reporting period of 364 days, on form CMS-2540-96, settled, processed by CMS on 3 December 2007.

None of these figures is carried on this report.

CMS report record 297390, read from the public cost report file SNFFY2006.zip.

Fiscal year 2005, ended 27 February 2005

Cost report for 1 January 2005 to 27 February 2005 — a reporting period of 57 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 16 October 2006.

None of these figures is carried on this report.

CMS report record 264569, read from the public cost report file SNFFY2005.zip.

Fiscal year 2004, ended 31 December 2004

Cost report for 31 August 2004 to 31 December 2004 — a reporting period of 122 days, not a full year, on form CMS-2540-96, settled, processed by CMS on 26 October 2005.

None of these figures is carried on this report.

CMS report record 235422, 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.

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 manager	Role	Type	Ownership percentage	Association
CIBC BANK USA	5% OR GREATER MORTGAGE INTEREST	Organization	NOT APPLICABLE	since 11/01/2020
119 CROWN POINT PROPCO LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/01/2020
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
COLONIAL NURSING AND REHABILITATION 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
LME FAMILY HOLDINGS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/01/2020
SAMARA FAMILY HOLDINGS LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/01/2020
SHORT, JENNIFER	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/21/2022
SUMMATION FINANCIAL SERVICES LLC	ADP OF THE SNF	Organization	NOT APPLICABLE	since 11/01/2020
TEODORI, KRISTINE	ADP OF THE SNF	Individual	NOT APPLICABLE	since 11/01/2020
GREATOREX, TINA	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/19/2025
SCHIOWITZ, MARC	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/18/2025
SEBBAG, GABRIEL	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	Individual	NOT APPLICABLE	since 12/18/2025
BORNE-BAUMAN, CANDICE	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2019
FLUECKIGER, RUSSELL	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 06/01/2012
LEHMAN, SCOTT	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 07/14/2020
MACKLIN, LARRY	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 06/01/2012
MCINTIRE, DAVID	MANAGING CONTROL - GOVERNING BODY	Individual	NOT APPLICABLE	since 01/01/2019
ADAMS COUNTY MEMORIAL HOSPITAL	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 06/01/2012
BORNE-BAUMAN, CANDICE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2019
COLONIAL NURSING AND REHABILITATION LLC	OPERATIONAL/MANAGERIAL CONTROL	Organization	NOT APPLICABLE	since 11/01/2020
FLUECKIGER, RUSSELL	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2012
LEHMAN, SCOTT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 07/14/2020
MACKLIN, LARRY	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2012
MCINTIRE, DAVID	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2019
SHORT, JENNIFER	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/21/2022
SMITH, SCOTT	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2020
SPRUNGER, KYLE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/01/2018
TEODORI, KRISTINE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 11/01/2020
WHEELER, DANE	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 06/01/2012

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 O20120924000732).

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	6/1/2012	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
119 CROWN POINT 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
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
COLONIAL 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
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
JENNIFER SHORT	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.	11/21/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KRISTINE TEODORI	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
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.	11/1/2020	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
CANDICE BORNE-BAUMAN	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2019	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	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	1/1/2019	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	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
RUSSELL W FLUECKIGER	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	6/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
SCOTT E LEHMAN	Individual	MANAGING CONTROL - GOVERNING BODY	CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.	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.
ADAMS COUNTY MEMORIAL HOSPITAL	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.	6/1/2012	Private equity company: No Real estate investment trust: No Holding company: No
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.
COLONIAL 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
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.	6/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.
JENNIFER SHORT	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.	11/21/2022	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
KRISTINE TEODORI	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.
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.	6/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.	6/1/2012	Private equity company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Real estate investment trust: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle. Holding company: CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; this field has not been filed under the current cycle.
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.

Changes in ownership

1 July 2026: ADAMS COUNTY MEMORIAL HOSPITAL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: 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 OPERATIONAL/MANAGERIAL CONTROL 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: SCOTT T SMITH no longer appears as CORPORATE OFFICER 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: KYLE SPRUNGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DANE E WHEELER 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: DANE E WHEELER no longer appears as CORPORATE OFFICER 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: 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: 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: COLONIAL 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: COLONIAL 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: 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: JENNIFER SHORT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JENNIFER SHORT appears as OPERATIONAL/MANAGERIAL CONTROL 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 MANAGING CONTROL - GOVERNING BODY 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: DAVID MCINTIRE appears as MANAGING CONTROL - GOVERNING BODY 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 MANAGING CONTROL - GOVERNING BODY 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: LARRY MACKLIN appears as MANAGING CONTROL - GOVERNING BODY 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: KRISTINE TEODORI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: KRISTINE TEODORI 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: 119 CROWN POINT 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: SCOTT E LEHMAN appears as MANAGING CONTROL - GOVERNING BODY 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: ADAMS COUNTY MEMORIAL HOSPITAL 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
15 March 2023: JOELLEN E EIDAM no longer appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: JOELLEN E EIDAM no longer appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: SCOTT T SMITH appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: SCOTT T SMITH appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: KYLE SPRUNGER appears as W-2 MANAGING EMPLOYEE in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv
15 March 2023: KYLE SPRUNGER appears as OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2023-03-15.csv

Recent changes on this record

1 July 2026: ADAMS COUNTY MEMORIAL HOSPITAL no longer appears as OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-07-01.csv
1 July 2026: 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 OPERATIONAL/MANAGERIAL CONTROL 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: SCOTT T SMITH no longer appears as CORPORATE OFFICER 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: KYLE SPRUNGER no longer appears as CORPORATE OFFICER in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: DANE E WHEELER 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: DANE E WHEELER no longer appears as CORPORATE OFFICER 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: 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: 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: COLONIAL 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: COLONIAL 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: 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: JENNIFER SHORT appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: JENNIFER SHORT appears as OPERATIONAL/MANAGERIAL CONTROL 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 MANAGING CONTROL - GOVERNING BODY 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: DAVID MCINTIRE appears as MANAGING CONTROL - GOVERNING BODY 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 MANAGING CONTROL - GOVERNING BODY 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: LARRY MACKLIN appears as MANAGING CONTROL - GOVERNING BODY 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: KRISTINE TEODORI appears as ADP OF THE SNF in the Medicare enrollment ownership file. Skilled_Nursing_Facility_All_Owners_:_2026-02-01.csv
1 February 2026: KRISTINE TEODORI 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: 119 CROWN POINT 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: SCOTT E LEHMAN appears as MANAGING CONTROL - GOVERNING BODY 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: ADAMS COUNTY MEMORIAL HOSPITAL 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

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	2 June 2025	2 June 2025	10	0
2	23 August 2024	23 August 2024	11	1
3	30 June 2023	30 June 2023	14	1

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

Deficiencies cited

35 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
2 June 2025	Health	F 0580	Resident Rights Deficiencies	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.	D	No	Deficient, Provider has date of correction	19 June 2025
2 June 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	19 June 2025
2 June 2025	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	19 June 2025
2 June 2025	Health	F 0686	Quality of Life and Care Deficiencies	Provide appropriate pressure ulcer care and prevent new ulcers from developing.	D	No	Deficient, Provider has date of correction	19 June 2025
2 June 2025	Health	F 0692	Quality of Life and Care Deficiencies	Provide enough food/fluids to maintain a resident's health.	D	No	Deficient, Provider has date of correction	19 June 2025
2 June 2025	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	19 June 2025
2 June 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	19 June 2025
2 June 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	19 June 2025
2 June 2025	Health	F 0912	Environmental Deficiencies	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	E	No	Waiver has been granted	19 June 2025
2 June 2025	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	D	No	Deficient, Provider has date of correction	19 June 2025
18 March 2025	Health	F 0584	Resident Rights Deficiencies	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.	D	Yes	Deficient, Provider has date of correction	4 April 2025
18 March 2025	Health	F 0677	Quality of Life and Care Deficiencies	Provide care and assistance to perform activities of daily living for any resident who is unable.	D	Yes	Deficient, Provider has date of correction	4 April 2025
18 March 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	E	Yes	Deficient, Provider has date of correction	4 April 2025
18 March 2025	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	Yes	Deficient, Provider has date of correction	4 April 2025
23 August 2024	Health	F 0679	Quality of Life and Care Deficiencies	Provide activities to meet all resident's needs.	D	No	Deficient, Provider has date of correction	10 September 2024
23 August 2024	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	10 September 2024
23 August 2024	Health	F 0688	Quality of Life and Care Deficiencies	Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.	D	No	Deficient, Provider has date of correction	10 September 2024
23 August 2024	Health	F 0690	Quality of Life and Care Deficiencies	Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.	D	Yes	Deficient, Provider has date of correction	10 September 2024
23 August 2024	Health	F 0694	Quality of Life and Care Deficiencies	Provide for the safe, appropriate administration of IV fluids for a resident when needed.	D	No	Deficient, Provider has date of correction	10 September 2024
23 August 2024	Health	F 0695	Quality of Life and Care Deficiencies	Provide safe and appropriate respiratory care for a resident when needed.	D	No	Deficient, Provider has date of correction	10 September 2024
23 August 2024	Health	F 0912	Environmental Deficiencies	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	E	No	Waiver has been granted	10 September 2024
15 April 2024	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	Yes	Deficient, Provider has date of correction	25 April 2024
30 June 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	28 July 2023
30 June 2023	Health	F 0657	Resident Assessment and Care Planning Deficiencies	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.	D	No	Deficient, Provider has date of correction	28 July 2023
30 June 2023	Health	F 0660	Resident Assessment and Care Planning Deficiencies	Plan the resident's discharge to meet the resident's goals and needs.	D	No	Deficient, Provider has date of correction	28 July 2023
30 June 2023	Health	F 0661	Resident Assessment and Care Planning Deficiencies	Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.	D	No	Deficient, Provider has date of correction	28 July 2023
30 June 2023	Health	F 0684	Quality of Life and Care Deficiencies	Provide appropriate treatment and care according to orders, resident’s preferences and goals.	D	No	Deficient, Provider has date of correction	28 July 2023
30 June 2023	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	28 July 2023
30 June 2023	Health	F 0732	Nursing and Physician Services Deficiencies	Post nurse staffing information every day.	C	No	Deficient, Provider has date of correction	28 July 2023
30 June 2023	Health	F 0757	Pharmacy Service Deficiencies	Ensure each resident’s drug regimen must be free from unnecessary drugs.	D	No	Deficient, Provider has date of correction	28 July 2023
30 June 2023	Health	F 0805	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.	D	No	Deficient, Provider has date of correction	28 July 2023
30 June 2023	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	28 July 2023
30 June 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	28 July 2023
30 June 2023	Health	F 0912	Environmental Deficiencies	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	E	No	Waiver has been granted	28 July 2023
30 June 2023	Health	F 0921	Environmental Deficiencies	Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.	E	No	Deficient, Provider has date of correction	28 July 2023

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

Penalties

Not yet extracted for this facility.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	For profit - Individual
Legal Business Name	ADAMS COUNTY MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid Services	2004-08-31
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Lake
Telephone Number	2196632532
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	Yes
Number of Certified Beds	55
Average Number of Residents per Day	29.1
Overall Rating	2
Health Inspection Rating	2
QM Rating	2
Long-Stay QM Rating	2
Processing Date	2026-08-01

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

Get an email when this record changes

One email a day naming what moved on COLONIAL NURSING HOME: 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 OPERATIONAL/MANAGERIAL CONTROL in the Medicare enrollment ownership file. That is one line of the alert.

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The citable document for COLONIAL NURSING HOME

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in Indiana at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

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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 155733.